81835 1142 Scotland Drive V o (. f1 /
Tract No. Lot No.
CITY OF SAN JOSE
BUILDING
NGG DEPART
APPLICATION FO BUILDING PERMIT
Date 4 191 —
Pe i+'No.
Application is h made for a permit to
a story, Type Use Zone
at O11LH art-Occupancy
to be occupied only as ��16 aceler
L
in accordance with Plans, Specifications and Plot.planer wi h. k
/ Emer. Elect.ct.
Estimated Value of Improvements,i$- �l 00 ^
I certify that in the performance, the work for which this permit is issued I shall not employ any person
in any manner so as to vi lata h w rkmen's compensation laws of California.
Owner�--��OrI di_,.7 Address IM2
By Address
RECORD OF INSPECTION
Foundation Frame
S/+ucc" o I r Finish
/ 1142 Scotland Drive R. Shaw
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