41228 (2) Alp OF SAN M13 BUILDING'DEPARTMENT
.APPLICATION FOR BUILDING PERMIT
22 ll''
Tract No. Lot No. ...,/.___.... ';;Z /y6 A
Da+e-- - W '--.. ----------- 1-3ermit No......
Application is h made for a permit to .._... ........... .....................
aLSy/.�---story,� Typ - - /...,'T.. ',-W.P_A. .-------- Building
q I� t Use Zone ..........--....._..
Icupan
L /
P, y - -------- . ry ....... -
be
ied
m accordance with Plans, 5 and ath. pace ........:.........3..
Specifications� d Plot-plan filed herewith.
` Estimated Value of Improvements, $__/1:545 �.........
../.. :545�._......
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 'Son Jose, will be
complied with.
I certify that in the perfcrmance of the work for which this permit is issued I shall not employ any per
son in any manner so as to violate the workman's compensation laws of California. `
SCHULTE-CAMP DEV. CO.
Owner ._...............2893..SA.--BpHCOM..............Address --------........._.....__...._....................__...
Contractor CAMPBELL,:CALIFORNIA Address
yA9mt........._........._------....._-- --------.._................
Form 280-1 r
RECORD OF INSPECTION
49 3 4V-4 c_ ^C.... ._1.....'..: .;
Foundation ----------------------------- ... ................ Frame ...:./3...-..L..`.'... ----
-2
Stucco ------------------------------- ........---- -------- Finish ...... - - ---------------------
a,::- .4