86692 (2)7650 Shadow Hill Zane
Tract No. Lot No. 7A'
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date f , 19 -7 � _ Permit No._FL,!�42%2--
Application is hereby made
story, Type S/v/
Zone
at 76.57 -46:9,440 -1F./l /h Occupancy
to be occupied only as�✓/)/�f•���h/ _ P kinVs
in accordance with Plans, Specifications and Plo# anf� here�e%�
Estimated Value of Improvements, $ ?. —/7 CJ o O
Emer. Elect.
"
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.
Owner �/h/ / S%i'r/�-:1'�`' Address
By L/� 7/ L �h� / c Address 72-P/2
RECORD OF INSPECTION
Founda#ion � 7�Frame
Stucco Finish
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