13155 7809 LUNAR CT
AW �
9� uP C�y�
okl
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
. APPLICATION FOR MECHANICAL /PERMIT
Dafe----------:--._(-- ......_._..... 197. 11 ermif No._�.�(. .
The undersigned hereb ekes ep lice}' } }ho plumbing I s�g}or of the City of Sen Jose
fore permit to install #h m a c w n e s yEe/
Exemption from req m n} tat Ca nie for on ctor s License is hereby claimed
by undersigned: s owner ❑ statement License
filed 2
Undersigned attests that his State f California Contractor's Lieanse
is in full force and effect and prop erl uhis 0 IIc fio
San Jose City Business License � x
I certify That in the performance of the work for which this permit is ssued I shell not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER_ & g> 1-21/ ✓fJ'N
ADDRESS ���� L U/VC9 /P Lot No.
USE OF BUILDING_ �� � 1
Signed-----A ..... � -� - ..l J
280-20 (9-73)
7809 LUNAR CT A & H HTG
n x S n m
o v c c c c o o c s c o 0 o f a
v
'o
m Z Z
v
m
2
a
N ^
C