58110 (2) 837 Kim
Tract No.— Lot No.
CITY OF SAN JOSEBUILDING DEPARTMENT..
APPLICATION FOR BUILDING PERMIT
Date D. y /7 19 6S/ Permit No.
Applica+ n is hereby made for a permit to
a_/story, Typeuil 'ng Use Zone 2-/
at fJ' 77 Occupancy e,
to be occupied only as 14-y Parking Space-
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ace
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in accordance with Plans, Specifications and PI - filed
Estimated Value of Improvements,
1 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 —v sPIC Y(2 Address /73! StIA_STA /4 Y
gy piCna rn -' Address s3Co S , �f)SCa/Y1 __
CA.Ie-UtNr Arum Awrlrvr)RECORD OF INSPECTION
Foundation Frame
Stucco Finish
837 Kim /9 Lee Spicer !"
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