41817 qh4Y OF SAN JOSE"" Haven Court BUILDING DEPARTMENT
APPLICATION FOR BUILDING . PERMIV o7/0� 4 .0. 7
Tract No. '�?. Y Lot No. ;-_0..........
Date ............. Permit No. ---------
4prICflonis hereby made for a permit o -------------------_- ------------------------- -----------
a...A:::Z-----story, TypeJ.77. 6, ...... __1- ---- .'............t. uilcling
U
at - Use--------------- ---- --------- 0—
ccupa'nfy -----=
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to be occupied only as ..1... 'ce ---7 -----------
arking4pe
in accordance with Plans. Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, -------------
it is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other
laws applicable to the construction, locaflon, and use of buildings within the City of San Jose, will be
complied with.
I certify that intWperformance of the work for which this permit is issued I shall not employ any per
son in any manenso as to vi the.workmen's compensation laws of California.
Owner .. .....,.Address -SCHULTIZZ-DAMP DEV.-C().
2633 SO. BASCOM
Contractor Address --- CAMPBELL.' CALIFORNIA
BYA9.0---------------------
......... ------------
Form 280-1
22R,EEC'O'R`D{ OF INSPECTION
Foundation .....7.-_�-��-.J. '�.T...-- Fra
J
Stucco --------------------
--- ----'---------------.... Finish ,11.'7.'�L. '. T,2..-1��-'-!ii.c�..-----
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