572477640 Shadow Hill
Tract No. ? O—rf Lot No.—7 !;F
CITY OF SAN JOSE r BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date
hereby made fora permit
a
to be occupied only as,
in accordance with Plans,
lit��mL��Use Zone h
O
ccupancy
[ Parking Space
o& filed hereytith , Fire,}pri . -
ler
and ot-
Estimated Value of Improvements, $ 6 -� 16-0 (/ /.f'/'!// — l// `
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any manner so s to violate the workmen's compensation laws of C life nia.
Owner_— Address
gy _ Address �Ldq
REC.ORD OF INSPECTION /
Foundation S r Z/ Gro .5 'r Frame
Stucco r— Finish —yV
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