83167 1138 Scotland Drive
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APP (CATION FO BUILDING PERMIT 83 /
Da#e 19 _ Permit No.
Applica ' is hereby ma for a p rmi# to
a_�s y, Ty Buildin se ne
a} Occupancy
to be occupied only a �Ppa�rki�ng Space
in accordance with Plans, Specif�andPlof-planewiffr/v�'� ler
'/— Oso Emer. lec#.
Estimated Value of Improvements, 420
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 workman's compensation laws ofCalifornia.
Owner / /0(/& 6- l Address �� 38 Syyco/<< �
Address
G
RECORD
,�OF INSPECTION
Foundation ��6-14— � Frame
Finish
Stucco
1138 Scotland Drive J. Duarte
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