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Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date_ 97.1.7 ...... 19...._.. Permit No..... .�� (!?.d ............__.
The undersigned h eby makes app. afion to the Plumbing Inspector of the City of San Jose
for a permit to instal 1h MM se side.Exemption from requirem forE nfractor's License is hereby claimed
by undersigned: as ostatement filed ❑Undersigned attests that his Stator's Licenseis in'full force and effect and propce ion.
San Jose City Business License
I certify thet 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 THO/IfR S J S'TE-0)A4e-7-
ADDRESS Z' 8f?EiuT /L- ST Lot No.
USE OF BUILDING
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Signed .---- --.......... -
280-4o4n
BRENT EMZW-4-" OWNER
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