3319 1136 Scotland _
Building Permit Confirmed ❑
Not Required
CITY OF SAN JOSE IN BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date-------------------2/13L.................... ig...7.4 Permit No.---- ------- 3- �/ ----...------
The undersigned hereby makes appy af' ,t h�h0 Pumbin rInspeclor of the City of San Jose
fora permit to install the mechanical `orlrfQl rev r ern
Exemption from requirement for State of alifornia or ontrac rs License is
hereby claimed
by undersigned: as owner 0 statement file ❑218540
Undersigned attests that his State of Celifornia Contrac s License
is in full force and effect and properly authorizes }his app }
San Jose City Business License # V
I certify that in theperformance of the work for which this permit is issued I sRaaff not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER MICHAEL SMART �
ADDRESS 1136 SCOTLAPD DR S J\, 95129 Lot No.
USE OF BUILDINGRES 1 "`2
Signed Tzu -` -
280-30
1136 Scotland Valley Hefting
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