68874E
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1160 Scotland
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT'
APPLICATION FOR BUILDING PERMIT
Date S-- 19 7Permit No.,,/, t
Applica+ion is hereby made for a permit to /.
a�_s+or ,
Ty p k/ B 'I i Use Zone
a+Occupancy
to be occupied only as Parking Space 2—
in accordance with Plans, pecifications and Plot -plan ed herewith. Fire Sprinkler
Estimated Value of Improvements, $ G`'""0 c+.
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I certify that in the performance of the work for which this permit is issued I shall no amp oy any person
in any manner so as to violate the workmen's compensation laws of California.
Owner'LL r PAL) I- "e)/6"
Address
By 4. Address /C 2Lf Tlie
�r
RECORD OF INSPECTION
Stucco
1160 Scotland
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Exemption from requirement for State of California for Contractor's License is hereby claimed by applicant:
as owner ❑ statement filed ❑
Applicant attests that his State of California Contractor's License # Z
is in full force and effect and properly authorizes this application.
San Jose City Business License # y /,/'-5-
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Form 280-1 5/70 10M
1160 Scotland
Trac# No. —Lot No. /64'
CITY OF SAN JOSE BUILDING DEPARTMENT'
APPLICATION FOR BUILDING PERMIT
Date '-^ /y
Application is hereby made for
a _e story. TYP k
to be occupied only as.
in accordance with Plans,
19 / / Permit No.�oJ�
a permit #o/ X' -
BI in Use Zone
A Occupancy -_
Parking Space Z
and Plot -plan ed ler
herewith. F Prinkcf.
Estimated Value of Improvements, $
�- f///
I certify that in the performance of the work for' which this permit is issued I shall no emp oy any person
in any manner so as to violate the workmen's compensation laws of-CalR%
i(ornie.
OWnerM�-v' ,'! 4C$' i� V r- o� Address //In �, 7//,1'✓./�
By Sr1 ✓fiDaP il /1yI P/ Address /0-527dF—
RECORD OF INSPECTION
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1160 Scotland
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