63268 882 kim St
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date �� Z� 19 Per it No. -3 z 6r
Application isy hereby made for a permit tt o (/J�t l��✓`�/O�/ d`�Y�/
at •ll�Zy ui d, Usep
y � � Occupancy
to be occupied only asParking Space
Fie rl kl
in accordance with Plans, Specifications an t n fiileddi� �
Estimated Value of Improvemen#s, $�/V
I certify tat in the performance of the work for which this permif is issued I shall not employ any person
in any ma r o as �9 ole#e fha workmen's comps nsation laws of California.
Owned Address e 'a
By Address
RECORD OF INSPECTION
Foundation /U' 2 4. 69 Frame
`Stucco Finish
882 Kim St % Skinner
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