528451106 Scotland
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date 3 — 2 3 19 /d P rmi+ No.
Application is hereby made for a permit to 4Q , 1'.o
ate_ story, Type c wilding n j Use Zone R_!
at //a ' A 17) (/ Occupancy
to be occupied only as Parking Space Z►
in accordance wi +h Plans, ecifications end Plot - I he�r it/h.� Fire Sprinkler
Estimated Value of Improvements, $ 30 0 4) r '! /v / ✓ 6XI
Exemption from requirement for State of California for Contractor's License is hereby claimed by undersigned:
as owner ❑ statement filed ❑
Undersigned attests that his State of California Contractor's License # 0 n y
is in full force and effect and properly authorizes this appliystiorY y /
San Jose City Business License # - /% ��
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any manna so as to violate the workman's compensation laws of California. r
Owner Address /� 0 6 J �a���`-��
irk` Address .2 t-7 lYl hei
1106 Scotland 9 R._Emler
99/S— W01 — I-08Z w,oj
4s:u! ooan }S
ewes uoppuno j
71 �lU P NO11O3dSNI d0 Gm003b