3705 937 Liberty ct
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date--- --�J.--------...................._.. 197y Permit No.........- T�.../..�-J--......---
The undersigned hereb k s e li do to t Vembi Inspector of the City of Sen Jose
for a permit to insfall i a d t � e ide.
Exemption from re eme or $tet of if n a r ntractor's License is hereby claimed
by undersigned: as owner statement {fled ❑
Undersigned attests }het his Stefe f California Contractor's License
is in full force and effect and roe IfOrixes s p ligp}iqn
"prop p /
San Jose City Business License ( / /V
I certify that in the performance of the work for which this per egi Kued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER /�/ TtJiI/ G✓ �o L/G O
n -ted
Loi No.
ADDRESS ",3 7 <—/�E/�L"/ c--;;'
USE OF BUILDING
Signed .....`---------------------- ---------- ----
280-20 (6-731
937 Liberty ct gould
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