57509 1168 S66tland Dr.
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT _
Date r4l I , I9.6_d? Permit No.
Application is hereb made for permit to Ob / AZ9 1pT" r¢ue:� To 0'
astory, Type _ Use Zone Ll,_�
S`C- .o.�o �2 Occupancy I_
I-
to be occupied only as_C�eLL�t� �� �1/rr i z
in accordance with Plans, Specifications and Plot-p an fi ed Is ewit
Estimated Value of Improvements, $ qw— 3!k' flCf-
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 viola�tthhee :grkm ''s com ansation laws of California.
Owner_ C!_-� v[LL2�fLu Address scafJ�(���F,
By Address
RECORD OF INSPECTION
Foundation Frame
Stucco R s �` _ — -
1168 Scotland Dr. 9 Robert M. WiaLbut
Not 89/Z 1-08Z w10=�
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