68049 7653 Shadowhill Lane
Tract No. Lot No. /1�
CITY OF SAN JOSE BUILDING DEPARTMENT
. APPLICATION FOR BUILDING PERMIT Q
Date 9-9- 1971 Permit No
Application is here/ ade for a permit to ' APAO`
a r story, Type�T v B i ing Use Zone
Occupancy
to be occupied only as % /�-i Parking Space 27-
in accordance with Plans, Specifica#ions d Plo#-plan led herewith. Fire Sprinkler
Estimated Value of Improvements, $
5-0 C U r. Elect.
-
I certify that'in the performance of iha work for which this permit is issu I shall no+ employ any person
in any ma ner so as i violate iha workmon's compensation laws of California. -/
Owner Address
BAddress /5 77
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