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92038 6212 SHADYGROVE DR. UBC 1971.' Tract No. Lot No. CITY OF S N JOSE BUILDING DEPARTMENT APPLICATION FO BUILDING PERMIT 9� 3�f Date_ Z�—, 197 Permit No. Application is hereb me foer ' a story, Typ + _J�-� i U one at _fN Occupancy / to be occupied only y Fire in accordance with Plans, Specifications and Plot-plan 'I erewith. Emer. Eli t Elect. Estimated Value of Improvements, $ 9600 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 as to violate the workmen's compensation laws of California. OwnerjC L,e CiE SM/T"// Address 62/4 -S-T. By 1e4,m 4,0 7ARi9vTOc p Address Z7-776 NJEed¢✓LrJa� ECORD OF INSPECTION Found -afio - Frame44 04Oe� � Stucco Finish�f�'i6 71le- /Di- 260-60IN 6212 SHADYGROVE DR. GEORGF. SMITH' - # esuao!� ssvu!sng A+!� !sop uvs •uoppoildde s14+ san!soy+nu Apvdoud pup +oay}e pup eexo} II^i u! s! p # esueo!l sJO;Oyx+uO3 O!umi!lvo }o v+e+s s!4 4044 WOW +ueo!lddy El penj +uewe+p+s 0 JouMO se :+uva!tltle Aq pewmp Agapy ti esueo!l sxo+apsPOO xo} 9!uwo}!lv3 Jo eyp+S xoi +uewennbex wowf uO!+dwex3