14977 7830 MC CLELLAN g /
Building Perms} Confirmed Ig
No} Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
.
Date...................---.--f(�/ 7/. . 1977.. Permit No._..`.... .L...(...rG................
The undersigned hereby makes(applica}io 4 e P fling In a for of the City of San Jose -
for a.permit to install fha m l o n r s
Exemption from (aqui( rr �Caie o> ector's License is hereby claimed
by undersigned: .as wnar ❑ sfe}amen} Filed ❑
Undersigned attests that his 5ta}e of Cel rnia ontractor License # G ft
is in full force and effect and properly auf r w app•l�i nA/
San Jose City Business License # O I �(/
I certify That in The performance of the; w�rkk forwhich 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_r417-- pZKO
ADDRESS�/ a_/ktC�¢!-Igr7— Lot No.
USE OF BUILDING-
Signed..-- .... I ALr - -----------
150 N0. HARRII V� 04n
7830. MC CLELLAN C&�ELLS�I §5��8
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