73116 (2) 6235 Shady Grove Dr.
Tract No. 2-�'?-A- Lot No, 3
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date 19 72- _Permit N
plication is hereby made fo permit
story, ,Typ Use Zone f
a# R-reek Occupancy�_�
to be occupied only as � Is' pace Z
in accordance with Plans, Specification s an PI I filed er with. �kler
�� 9 r y E er. Elect.
Estimated Value of Improvements, $
I certify that in the performance of }he work for which chis permi} is issued I shall not employ any person
in any manner so as to violate the workmon's mcompensation laws of California
Owner
-LjJi � `� � Address L 2 D f 07
Address
RECORD OF INSPECTION
Foundation Framer
Stucco Finish-
6235
inish 6235 Shady Grove Dr. R. Trimble
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