41228 (2) M&F SAN jbpdi'906e'i . BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. F'Oda Lot No. 9----....//'o 77 146e
Date----- —---- ---- 19-/,.:5. Permit No_. 41.1224K------
Application is hereby made for is permit to ---?ezeemwo......_................. ..............
a..../--....story, Type --------------.. Building
Use Zone ....... .............
at tf4461---11-1, Y-64�_ - Occupancy -------------------
to be occupied only as / __ W
eyj�ing Space ----------------------
Dan ewith
in accordance with Plans, Specificati: d 4f&Z
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 the performance of the work for which this permit is issued I shall not employ any per
to the workman's compensation laws of California.
son in any5CffMY1E�08x1.MP DEV. Co.
Owner 2633 SO. BASCOM -------------- ---Address
- - ----------- --------------------------- ....................
- - -CA M PEI ELL.--C A---- --- --
C.W.Clor LIFORNIA
ByAq.nf........................................... .............--------Address -------------------------------------------- ---------------
F.,m 280-1
RECORD OF INSPECTION
Foundation 7—(� 3A"eI6............ Frame, —2 - 3 19��
—........—........ ....... ------------- ----------------------------- ----------
Stucco -------------- ........... ------------ ------- 0.....----- ..........