41993 (2) 8191 Hyafthisport Drive
CITY OF SAN JOSE BUILDING DEP,2 TMENT
APPLICATION FOR BUILDINGPERMIT
Tract No3VZZ:--- Lot No.
Date............JUN.-2 8- 1963--- -----., 19------... Permit No. 'I!Vif c7---------------
Application is hereby made for a permit to ---- ------ .................... ..............
---------------------------- Building
a...__./.....story, T pe...lr
----------- --------f.. .. ... - -------
Use Zone R-
at v Occupancy ---- ----------------
to be occupied only as . ...iA� --- ----- ---0.. . Parking Space .Z-..........._.
in accordance with Plans, Spek c AdP!Vo ��eXerewith.
Estimated Value of Improvements. $./-,S7/..jTq7P--------
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other
laws applicable to th construction, location, and use of buildings within the City of San Jose, will be
complied with.
I certify that n e p orm nce of the work for which this permit is issued I shall not employ any per-
son in any ma so as to vi ate the workmen's compensation laws of California.
Owner -- ----- ---- ---------------- -------------Address SCHjjL-T€,CAMp -ffEV
Contractor 2633 So. BASCOM
--
ByAgent---------------- - -- ....._...................................Address ....CAMPSELL . . .. . . . ...............
,
CALIFORNIA
Form 280-1
RECORD OF INSPECTION
6 3B
Foundation ...... rame .......... ----------- ------ -------------------
F
e
Stucco --------------- ... ..................... -------- ... Finish
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2 . 7 3 6