41228 �Y OF SAN r�� �t' ` BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
��Tract No. az. Lo# No. - I f.....00�'v
7 .------. 191. Permit No......
Application is hereby m ale for a permit to ... /...<.G ------------- _-_._..._------._----
� i r
- a--- -..story, Type- .....I - - - - -' - --- ---- .Zl.-.�917.1Z------........ Building
at .-/1. ------- Jl'T�f.......G.r 5464!5se Zone
pancy ..... ----------
to be occupied only as �.0 .Q.�7.... � Parking Space ..._--- ---..._---
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $.._.�-�j�. ��....
If is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other
laws applicable to'the construction, location, and use of buildings within the City of San Jose, will be
complied with.
I certify that in the perfcrmance of the work for which this permit is issued I shall not employ any per-
son in any manner so as to violate the workmen's compensation laws of Califcrnia.
ti.
Owner ----SCHULTE--CAMR.DB..t---C.a...Address ................
Contractor 2633 SO. BASCOM
_-- ------- - -------
ByA9an1..-----------CA.NIP.BELL,-C�ALfPORN1A"""'"""""Address ...........
Form 280-1 1
RECORD OF INSPECTION nn
Foundation -------+.. .....................
---6.3---------- -----------
stucco 9-543 4-�
-- - -- ------- --- .... Finish ------------------- --------