41817 (2)� �l� OF SAN JOSENAw Haven Ct. •' gUILDING DEPARTMENT
APPLICATIO�jN/!FOR BUILDING PER -
Tracf Nov?..7..!�Z Lo+ No. �� �H /y� �
- ....._...
Date. . ............... .��.....---._� 19..�� � P�eQrm/i#J No...��Bl�...----...---
I6cation is hereb made for a ermii +u/-15r�t�c�;n' _-------......._..------------..
PP� . Y ;� P
' °---�------story, Type__....Z�.�.__.. [C/o�� ..�...� . ., ... . Bu' ing
•. �Id
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/ T u:e zo�a��.—...�.._....
e+ ._c�'d.6. -f'�/.v✓.�v-P�._......._ /jo�ti�Y r
F - - -
+o be occupied only as ..�..�..=----...... • `� �Parking�5pece .L_..-___....
in accordance wi+h Plans, $peeifica+ions end Plo4-plan filed herewi+h.
Es#imafad Value of Improvemenh, $..��.���---�-�---���-•
It is heraby egreed thet the raquirements of tha Sen Joso Building end Zoning Ordinences and all athar
lews epplicebla to the c struclian, location, and uso of buildings wi}hin the City of Sen Jose, will be
complied with. .
I certify thei In�th pe form�nce of }he work for which ihis parmit Is issuad I shall not employ eny par-
son ln any man r as }o vi efe fha�workmen's compa�setion lews of Califomie.
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Owner .._ ......__...... ._. ----....._. . .
_...___.._�Address ..SCHULTE_-.(:,AMF..D.EV..GQ,
� � 2633 SO. BASCOM
Conirecbr .
I ByAvmf.................. ...'_"._."_._........_"....'_.'........'Address __.....CAMP-BEL�—GALAFQRNIA..._.
Form 280-I -
• . RECORD OF INSPECTION
Foundafion ..f.�2_.�.J_I"��__ Q — / /
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s+uoco ------------------------:-------�---------Y/ pini:h ./.?-.-/.Z.-.6_� L6tt..r.�.-�--�9-srrV
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