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61772 882 Kim Court
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Da#e `, '/2 , 19 Permit No. 6177-?--
Application
ol77-?--Application is hereby made for a permit to� 9a—a—a
a t. .story, Type Usk Buildings U Zone
at 7 eZ46-� / Occupancy
to be occupied only as ��Parking Space_7
in accordance with Plans, Specification an lot-plan filed here�wyi#fh.A Fire Sprinkler �—
Estimated Value of Improvements, $ © �vr%/(''�
I certify that in the performance of the work for which this permit is issued I shell no" t employ any person
in any manes so as to violate the workmen's compensation lawsofCaliforn�. J
Owner J Address
gy Address
RECORD OF INSPECTION
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