44638 (2) CITY'6AAJfT89i0Wn BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
197719
Tract No. 4�70/--- Lot No. aQ----------- Fra-
Date......JUN 241964 ............... Permit No.------ .....S��----
Application is hereby made for pe rm t to -- ............--.........................
IsIn
to
5 or --'%g/ %
;10
a f T y p a. .......................... Building
-5 or .only. ....c- - - -1- ----- _"�Use Zone p.=./---------
at -----------/...................... ....
A.. Occupancy ---=--------------
to/b6eo 02,—c tcu ada, ....... .... Parking Space ... ----------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $157P-V�
-- ..
------ .. ..............
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 San Jose, will be
complied with,
I certify that in the rfo,ma a the work for which this permit is issued I shall not employ any per-
son in any manner 'tion lows of California.
to �i ate fh workman's compersa
.7
Address CAMP DEV- C-0.
Owner --- --- -- _ 2633
SO. BASCOM
Contractor
BYA9.0----------------4- ------- -- .................. Address .........CAMPBF_LL.__QPL.jFPRlI-------
Form 280-1
RECORD OF INSPECTION
Foundation Frame
yy..........
Stucco ..............