41993 (2) t. Boter Drive
CITY OF SAN JOSEFBUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No3Y. .. -- Lot No. _G__/.........
Date.........JUN---2.8-.1963............... 19 Permit No. ------------
Application is hereby made for a permit to ----/.4---- .................
a.......L----story, T ....... 4 ------------------------- Building
...
Use Z ,;,----/
p
at
Ouancone,/y _�- --
-- -
to be occupied only as 1...L cc
��_----------- Ai space ----------
in accordance with Plans, Specifications and P&-plan filed herewit
Estimated Value of Improvements, $_�Ox-07C7 ... ....
It is hereby agreed that the requirements of the Son Jose Building and Zoning Ordinances and all other
laws applicable to the nstruction, location, and use of buildings within the City of San Jose, will be
complied with.
I certify that i perforrma a of the work for which this permit is issued I shall not employ any per
son in any man as to �i t the workman's compensation laws of California.
SCHULTE-CAMP DEV. CO.
Owner ---- --- ---- .... ... .... ---:...Address ----------- - -----
2633 SO. BASCOM
Contract
ByAgent--_------------------ --- ---- -------- - Address
W...........
Form 280-1
RECORD OF INSPECTION
Foundation .7 ...... Fra
Stucco -------------------
--- Finish .1. 1.7
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