41817 CITY OF SAN JOSE 01d, Town Court B.UILDING DEPARTMENT
APPLICATION FOR *BUILDING PERT
ML
Tract No..?.. . ........ Lot No. ------------
Date... 19 Permit.No.
A?ka7tfion is hereby made for a permit lto � .... --------- ........ -------------------------- -
a----/__n. _story, T --------------- -- ---------- .. ..... Building
at 4"*)ra Use Zone
Occupancy ------
t Parking Space
o be occupied only as .........-------------- --------
in accordance with Plans, Specifications and Plot-p 4aneiedlherewith.
Estimated Value of Improvements, $_/J;OT77?------------ ---
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.
I certify that in theAform e of the work for which this permit is issued I shall not employ any per-
son in any manner s to olat the workmen's compensation laws of California.
7//-
Owner ---- .............. .--.._,.Address sCj4UL_T�E_.C__AMP-DEV.--00;
Contractor * ......___..._..._....._._........'Address ---- 2633 SO. BASCOM
ByAg.nt-------------- --- -
Form 280-1
RECORD OF INSPECTION' q
Foundation ---
Stucco ------------------------ ------- inniissh ,u.-----