41817 (2) %ifY OF SAN JOSO'ew Haven Court
I BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMI
Tract No..,?y2'4— Lot No.
Date---
-- - --- -------��3............ Permit No------Y/'?_12........
io, is h .. ...........................
ppli=tereby made for it permit to 7_1 ................... .................
F Building
a...../....."""story, Type_:�__ __ .. - � , .0. ,
1��41W_-X. ---Use---Zo..-n-e--
�f-------_------
at -or.... ................ ------------------
V-7 pancy ---------------------
to be occupied only as _/_ v�ee.AIVA16XII'ncu Space __2—--------------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, ............
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
cc m p"a' with.
"h4 I
I certify
that
in e p or which this permit is issued I shall not employ any per-
son
_an so a vio ate s compensation laws of California.
SCHULTE. DEv: C-Ci-
so 'a a
Owner
ne, ..........•Address ----------_---------- ...CAMP
w t,.cto, 2633 So. BASCOM
Can Address --------CAMPSELLCALTFO7k�jj;�- - 1
B y Ag. ................_......'Address
Form 2801
RECORD OF INSPECTION
Foundation
.. .. .. ... ......... ... w IS---- - Frame
Stucco -- ---------- ----------------------------- ......... az
........ Finish