41228 (2) C414 OF SAN j*Ajbb R8. - BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. i?4� Lot No.'__,g6 CO------ -P16,4
Qly
Permit No-----41-----------------------
Application is heremade ora permit to ... . .. ----------------� \N.1,11,
------------
a.. _cwt ----story, Type 402:V_le............ Building
at --d:?
Use Zone,,:,........_.....-...
Occupancy ---------- ----------
to be occupied o&Aj_ ___ Parking Space —-------------------
in accordance Zfh(4ans, Specificatio an!tot-p'9nfilecl herewith.
Estimated Value of Improvements, $,526-_iC2. . ............
.0
f - ----It is hereby agreed that the requirements a 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 shalt not employ any per.
son in any manner so as to violate the workmen's compensation laws of Califcrn;a.
SCHULTE-CAMP DEV. CO.
Owner ----------------21533-19O.—BASCOM-----------...Address --------------------------------------- ----------------
Contractor CAMPBELL, CALIFORNIA
ByAgent---------------------------------------- ............Address -------------------------------- --------------------------
Form 280-1
RECORD OF INSPECTION
Foundation ------------------- Frame -----------
Stucco ------------ ---------------------------- ---- ----- Finish -------9....... ------ --.....................
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