41817 CTTY OF SAN JOSE Mew Havem Court BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERM
Lot No.
Tract No. M
Date .......... 19X 3 Permit No. ----------
- --- ------- - Permit
Application iI, hereby made for is permit -------- --- ------ - ------ --- -
'n Y -_
a----/--....story, Type��/-,��40 ax�v---
4-Allf, . ..... ---------------- ---i.�uilcling
Use Zone
at 41W0 cupgocy ----------
.'f if_
to be occupied only asl��O!--- P arki7g/ ace ---------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, . .--
It is hereby agreed that the rag urements 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 Son Jose, will be
complied with.
I certify that in th perform e of the work for which this permit is issued I shall not employ any per.
son in any manne7/s to Iola the workmen's compensation laws of California.
Owner ... .... .. ....... ......... A�Idress ---S.CHULTE--C-AMP DEV---C 0'.
2633 SO. BASCOM
Bcoat'.'tor Address --- ----CAMPEMLL��CAL10;6-jjjjjj�
yAgent-----;----------------;---- -------------------------------------- -
Form 280-1
RECORD OF INSPECTION
Foundation ---
--- ---- -- --- -- .. ...
Stucco ------ -------- ------------ --- ------------------ Finish