17399 7894 BELKNAP DRIVE Building Permit Confirmed ❑
/
Not Required ❑
CITY OF SAN JOSE / BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Da+e....--------....--- I9X--- Permit No.--------/7:7..l---------- ---
The undersi ed er� lj, }o t Plum ing I or of }ha Cify of Sen Jose
(ora permit } ,ns iisfedfhr rs sExemp}ion om req el for a or on 'for's License is hereby claimed
by undersigned: ❑ statement filedUndersigned attests f California Contractor's License $�
is in full force and a ect and properly authorises this plication.
San Jose City B ' ansa #
I certify the i t � rnanca of a o h iT i issu d I shall not employ
any person in any er o as fo viol e�f a wo n' court fio of California.
OWNER
ADDRESSLot No.
USE OF BUILDING_�P [-!/oN
Signed.......... --.
It
280-404n
894 ELKNAP DRIVE ROYAL SHEETMETAL
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