12578 852 8VTTE AVENUE
Building Permit Confirmed ❑.
-Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
/APPLICATION FOR �jM�ECHANIC /AL PERMIT
Date .12�--------------- ....... 191 Permit No.._(..7 ._( .�— -.-.
The unrrD ke Bplica 'o }d the-P1n Inspector of the City of San Jose
for a per + n I he h e w is d t e se side,
Ese n uire + for ate aa nie or Contractor's License is hereby claimed
by undersigned: as owner ❑ statement,filed ❑
Undersigned e} es+s }hat his Stefe of California Contractor's License
is in full force en off
properly it s hh* apppf' rt./�/f, '
San Jose Ci B ice nse e �7J1./ 7
I certify the +h erforman e o the wortheI work or whit +his permit is issued I shall not employ
any person in any manner so as to vioate the workmen's compensation laws of California.
OWNER ����
ADDRESS Lot No.
USE OF 'BUILDING
Signed---- lV,.rar.�
280-20(9-73)
852 BETTE AVENUE ATLAS HEATING & VENT.
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