17164 7894 BELKNAP DR.
L/ Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date JANe.-26------ ............. 19,78 Permit No.-- -/71(v---- -...---..---
The undersi ed ha er-t,
a o to e I 1w4 ctor of the City of San Jose
For a permit in of on jh rse .87
tor
n {r qur S eta of Celilornia for Contractor's License is hereby claimed
by undersig owner ❑ statement filed ❑
Undersigned aitests fhal his State of California Contractor's License # 214557
is in full force end eff ct and properly authorixys this application.
San Jose
City
Busi as se .# 4 � 2
I certify that in jo%ante of fha r icl f s per s is I shall no# employ
any person in any r o s to violate he workmen's compensation la s of California.
OWNER KEN Sou ^
ADDRESS 7894 BELKNAP DR. Lot No.
USE OF BUILDINGAIT -ON
—
ROYAL SHEET METAL Signed. ... ... ----.._ --------------'-.....
Rn_404n
894 ELKNAP DR. QROYAL;SHEET'ME1A�`
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