41228 (2) jgrpildio brilva_
CW9F SAN BUILDING DEPARTMENT
APPLICATION FOR BUILDING. PERMI
Tract No. :?.y�4— Lot No.
D a t a. 6............ 19.(0 Permit No.........L1__ ...ZZ-----..
Application is hereby madej .
or a permit �o - ---------------------- -----------------------------------
7
a... . .......story, Ty --------------------- Building
at j%-s-1......---------- ....... i Use Zone ...IT�._l---
ccupancy ----- ----------------
to be occupied . .....�.11;17
- - ------- ..... Parking Space ...Z...........
in
277-----------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, S.---j Q--------a-------------
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
complied with.
I certify that in the performance of the work for which this permit is issued I shell not employ any per
son in any manner so as to violate the workmen's compensation laws of California.
SCHUL'�E-
...PAMP._DEV._,C0.....Address ... -------------------------------- ----------- ......
Owner ............. ..a-6-53
Contractar SO- 8ASColW
ByAgont-------------C-A!�TP-JELL,_CALIFORNI.A...........Address -------------------------------------------------------------
Form 280-1
RECORD OF INSPECTION
Fo6 ndation ..... Frame ...
----------------- --------- ... ....B---
------ -------- - ----- ----- --------------/----
Stucco --------------------*----------------------------- ----- Finish
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