41993 CWOF SAN JOS?"'id i0 Drive BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract Lot No. 1?7----- / C/4 /_17 -
Date..... ...JUN---2-8-1963---------------- ig Permit No.A.(/_f_f3---------------
Application is hereby made for a permit to ----- ---- .......................-
a....----I..---.story, T V -------------------- Building
Use Zon
!7410 � .I
---------------------- a --- --------
Parking
...-----
to be occupied only as 1775i ,
�z �,". king Space -----2.. ......
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements,
It is hereby agreed that the requirements of the Son 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 t performer a of the work for which this permit is issued I shall not employ any per.
, T ' T
son in any man rl. as to �* lot the workmen's compensation laws of California.
4.1h
SCHULTE-CAMP
Owner ---- --- - --- --- .... ... -- --------..Address ----_......."2633 _qEY_.0O3
.:gg --so. ri;�scom
A E __ L
Contractor Address ---------C MIPB ILL. CA WORNIA---- -
..............
ByA9.nt---------------------- ----- -------------------------------
Form 280-1
RECORD OF INSPECTION
Foundation7l.. 4-.!�- ...
H. ---------------/--------------
- -- - --- -------
Stucco .._------------- ---- -- - ------ Finish