78807 1118 Scotland Drive vJ
Tract No. /� Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
n - APPLICATION FOR BUILDING PERMIT 78207
Date / 1 19 Permit No.
Application is hereby made o a perm'" + �7� rvv
story, T pe i d r g Use Zone
atT'L-.f "r�(t �2 Occupancy
to be occupied only as 61f' r/p_ " )r �(� c
in accordance with Plans, Specifications an 1 Plo plan i her i h, ire n
O� Emer. lec#.
Estimated Value of Improvements, $
I 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 aJcrC SOAI Address
B Address
CORD OF INSPECTION
Foundation .A. 9—t 73 ,ame (0�I 5 ^�
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Stucco Finish
1118 Scotland Drive J. Dickerson
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