41993 (2) 8170 Presidio Drive
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMITI�-/xz-c-�
Tract N.93��--- Lot No..4?-O-------- �� Iq
Date.....JUN .28. 1963. ---------------
Ahhpplication is hereby made for a permit t-
--- ----------- ----------------------------- ---- ------
a------2.-.sfory, Type. . ,� '//
---------------------- ----- Building
Use Zone llr%�'—
a - - ----------
cupancy ----------------------
'00�
to be occupied only asJ 7Q'X',----:1----- Paiking Space ...2^...._.....
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $.-/ .....6-r-0--------
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. j
I certify that n a perform nce of the work for which this permit is issued I shall not employ any per.
s A , me n
on in any me is.-as t �io to the work compensation laws of California.
Owner e,. ... .. ...............Address SCHlULTE_-__CAMP DFV_Q0-
263-3- SO. BASCOM
Contract.,
ByAg.nt...................... .. ........................................Address .......CAMPBELL.-.CALIFORNIA....._..
Form
......CAMPBIELL—CALIFORNIA---------
Form 280-1
Q RECORD OF INSPECTION
Foundation ----7.`... -.-/-.'.C.. :- Frame
11 -1------------------3 4t3
Stucco ------- --------------------------------- ---------- Finish