41817 (4) bTV OF SAN JOSEPres.idio Drive BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMI
Tract No. Lot No. 4.F..---/........
Date -----------�. 19C 3 Permit No._11411912--------------
4ypkafio7is hereby ni a permit . g� ---------- ----
a ' .7 150
sf ory, Type__z_.6'�-2_;'c, _ r-,.:-.._-- ------------- -------- Building
at __4� Use Zone�7 - .111-----
/ � -- -----:-- ---- ------ Occupancy = ---------
f o be occupied only as/ ;�XI�VePqrri4g Space ---Z=------------
in accordance with Plans, Specifications/and Plot-plan filed herewith.
Estimated Value of Improvements, $-J---- -----6—'CM
. ...........
It is hereby agreed that the requirements of the Son Jose Building and Zoning Ordinances and all other
laws applicable to the construction, location and use of buildings within the City of San Jose, will be
complied with,
I certify that in the formance of the work for which this permit is issued I shall not employ any per-
son in any manner o to ate the
workmen's compensation laws of California.
A�clress
Owner ------- ---------'A SCHUL-TE-wCAMP-5Ejj.--66.
Contractor 2633 So. arsCo
ByAt x;; ; Address ---------- MPRVLL. CALIF' RPR_k_,__
g4nt------------------------ -- ----------- --------- - --------
Form 280-1
RECORD OF INSPECTION
Foundation -
--- .-2-'te1�.-i-- ------- Frame ._---O-- -/-----------�/ --....-----
Stucco ------------------------- ------1_.------.--....--------- Finish
------------
t