41993 8105 Presidio Drive
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract Lot No. �-?24n-----
Date.JUR-2-84963-------------------- 19....**,* Per 0. ................
Application is hereby made for a pe5mif to Per
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a....... ---story, Typ .. Building
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W�24WO4�Use a ------------------
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at -.n� Occupancy ..11E-------------
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to a!s Z-------------01Y. /0-�v ParkingjSpace,,;�------------------
41 '1A-ZC�A
9-9 W1,
in accordance with Plans, Specifications and Plot-plan" herewith.
Estimated Value of Improvements, $-./7,----5- ........
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 Son Joset will be
complied with.
I certify that in perfor ce of the work for which this permit is issued I shall not employ any per.
son in any certify
nias to of to the workmen's compensation laws of California.
SCHULTE-CAMP DEV. CO.
Owner .............Address ---------- --2633-S(y.---BASCOM...
Contra. CAMPBELL, CALIFORNIA
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ByAg.nt--------------------- - ------ -------------:.................Address ---
Form 280-1
RECORD OF INSPECTION
Foundation - +...: Fromm /.. /— / - 1- 3 - ..... -
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