41817 UfY OF SAN jOSE'New, Haven Court BUILDING DEPARTMENT
:0
APPLICATION FOR BUILDING PERLA I
Tract Lot No.
Permit No. -!V/P;�-----------
Date. .. .... . . ... ....................... .....
plr=ation is hereby made for a permit
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4X 4 , Building
a.... .....story, T IZ—amo jn�;; ---- ---- -----------
pe
Use Zone --------------_-----
at -AZ�t u a'c" ------------ ---
c !
0 *s lVea 1�' icnoqrl�pate4l
to be occupied only a --------- 4 ----------------------
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, location, and use of buildings within the City of San Jose, will be
complied with.
thp I
certify that in �?erfcrmance of.the work for which this permit is issued I shall not employ any per-
son in any as to vi n the orl,men's compensation laws of California,
4ULTE-CAMP DEV. CO.
Owner --- ------ -Address ---SCt... 26-33--SO- -8-A-S-COM------- ---
Contractor
ByAg-nt...MX� ............_Address ..........CAMpSELL..C;ALtFQRNlA......
Form 280-1
�7 RECORD OF INSPECTION
Foundation - / - `... ...-L.-[' :U._ .Freme .. .. . ...
f�-- ----
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