41228 ApOF SAN Adi4ii BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. 3-54Z.- Lot No.:,-;?_ 31.....
Date.....-. --------- 19--6-37 ' Permit No.-----
Application is hereby made for a permit to ... ...................... --------
a.....L22-----story, Type---.T -e---------- Building
at C7-' Use Zone .............
-------------------
e4W'0" ------------- --
to be occupied only as ...... ;&pri=rpe - --
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, -&-app-le-------
It is hereby agreed that the requirements of the Son Jose Building and Zoning Ordinances and all other
laws applicable to the construction, location, and use of buildings within the City of Son Jose, will be
complied wifh.
I certify that in the performance 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 compensati6n laws of California.
SCHULTE-CAMP V
DE �__CO----Address .......... --------------------------------
Owner .................p ---------------
A S C oM
Contractor CAMPBELL, CALW��R
ByAgent------------------------------------------- NiA--------..Address _------------------ ................ ...------------------
Form 280-1
RECORD OF INSPECTION
Foundation ...... -2- Fra Mp.......
Stucco --- - ------------ ------------------ --------------------- --- Finish ----