41228 (2) 3U�Y 1V0
CITY F SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No3 Lot No.
Date. .... .-5' ].......... 19---6, Permit No-------- z
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Application is hereby made for a permit to ------------—------------------------------------------------------
a------—;?—. -.story, Type_-�. ... .... ....... . .... ........... ------ Building
A�.nzv ✓
0,A Use Zone ------
at -- ---------I...... . ......... _27
-***... _ I O'colpancy _,.............
to be occupied only as Z------------------- Parking Space ----------- ----------
in accordance with Plans, Specifications and Plot-plan filed herewith.
7
Estimated Value of Improvements, --U..._........
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all ofl,,r
laws applicable to the construction, location, and use of buildings within the City of San Jose, will be
complied with. 1
I certify that in the performance of the work for which this permit is issued I shall not employ any per
son in any manner so as to violate the workmen's compensation laws of California.
Own
ePql!!PLTEnCAMP..DEV...CO------------Address .......... ---------------------- --- -------- -- -- --
Contractor 2633 SO. BASCOM
ByAgont----CAJAPB.ELL, CAUFORMA...................Address ...................._i......--- --- ---- -----------
Form 280-1
RECORD OF INSPECTION
Foundatio1401r -`n' --
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Stucco -------------- ------------------------------- ----------
c!0' Finish ------------ ------ ----------- ------------ ------------------