8716 928 -BLAZINGWOOD AVE.
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL-7 PERMIT
Dafe..........-----lo/2J-Ir/7.�r............. 19........ Perms+ No. // ....----..............-----
The undersigned re a i t p u specfor of An City of San Jose
fora permit #o insta }fj a ist oq' iq,8re s4 side.
Exemption from qunam t for S# #e of Ca ioornia for Contractor's License is hereby claimed
6y undersigned: as owner ❑ statement,filed ❑ LC8 C40
Undersigned akeots #hat his S#af of California Contractor's License # J J
is in full force and effect and prop V au oases this pl is ior, (16D12
_San Jose City Business License : 3C�
Icertify that in the performari5e of thCwork for which this permit is iss ed I shall not employ
any person in any manner so as to 0olafe the workmen's compensation laws of California.
OWNER Victor DeLeonardis
ADDRESS 928 Blazingwood Aver Lot No.
USE OF BUILDING Residence p /�
Signed----V -- --/--J' ------------
280-20 (9-13) ,
928 BLAZINGWOOD AVE. . VALLEY HEATING
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