14789 1610 ELn);RWOOn COURT
Building Permit Confirmed
Not Required
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FO MECHANICA/LP7ERMIITT
Dafe.._45; ............. 19........ Permit No.../.7.../... ./ ........
The undersigned hareb kas p lice}ion }p thePlumbing fsagof3�of the City of San Jose
for a permit fo install the sic
a> ik✓�Usr{���/r' he a�tf S�i e'.(J
Exemption from requirement for ate of �forni (or Contractor's License is hereby claimed
by undersigned: as o nor ❑ statement filed ❑
Undersigned ai}efts that his Siete of C ratCofo _%� 3
is in full force and effect and properly ILLS ori +�fhis
San Jose City Business License #-- -P 2!3(T
I certify that 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 C//As/f9
ADDRESS
Lot No.
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USE OF BUILDING
Signe .. . .. .1 #
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7610 ELDERWOOD COURT FOREMOST HEATING
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