41228 CA09F SAN V3-d '3.
o br. BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT zS
Tract No. Lot No. --,Y/--------
Date_4vol,elt..z47--------; 19---C3 Permit No------ ------
Application is hereby made,for a permit to ------------------------_------ .............
a-------2=.sfory, Type
..�,W, ---- ---------------------------- Building
- - ----- - ---------- .... .
at ij.� r7�- -- ---........... .................. Use Zone .l.?..... .........
,oVeOccupancy.
'ccup'ancy T_-----------------
to be occupied only as Y-- --- ---------- Pae��W�
-------- --- Space ----4=...........
in accordance with Plans, Specifications and Plot-plan filed herewith.
2-45, Q--cr-10
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.
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 compensation laws of California.
Owner _�SCHUILTE-CAMP DEV.-CO..-----Address ............ ............................:..................
------------------------------------------
Contractor
2633 SO. BASCOM
ByAgent.........CA ........Address -------------------------------- ----------------------_
Form 280-1
RECORD OF INSPECTION
Foundation -------------- ..... ..............
Stucco --------- ------------------------------------
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