21557 ' 7�6 �6gARNART 'PLA
CE PHONE: 2]]-4581
Building Permit Confirmed ❑
9 Not Required
CITY OF SAN JOSE BUILDING DEPARTMENX
APPLICATION FOR MECHANICAL IPERMIT
Date.........._............!9. .02. .......... 19.7.9Permit No......Op..��. 1..J�...C...1...----......
The undersigned hereby makes application to the Plumbing Inspector of the City of San Jose
for a permit to install the mechanical work listed on the reverse side.
Exemption from requirement for State of California for Contractor's License is hereby claimed
by undersigned: as owner ❑ - statement file 4/7 •/
Undersigned attests that his State of California Contractor's License
is in full force and effect and properly horises this a pl icetion.
Sen Jose City Business License # �
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 workmen's compensation laws of California.
OWNER
ADDRESS 7 a 6 / Lot No.
USE OF BUILDING )
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7626 13ARNHART PJ-ACE WESTCO HTG. & A/C
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