14978 7838 MC CLELLAN
Building Permit Confirmed 14--
Not Required ❑
CITY OF SAN JOSE / BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date................._. ...(p./L7J ..._...... 147.7. Permit No.._......./.. - .......
The undersigned hereby makes epplice}io fo e P bip /or of the City of San Jose
for a permit to install the c n' ar
Exemption from requ' e f r e'o alifornia for Contractors License is hereby claimed
by undersigned: as caner ❑ statement filed ❑
Undersigned attests that his State of Celiforni Co rectors ase _
is in full force and effect and properly authorizes f pplice}' l%
San Jose City Business License #
I certify that in the performance of the work for w c thi$
permit is issued I shall not employ
any person in any manner so as to violate the workmen's compensation.laws of California.
OWNER _s� C.�S
ADDRESS 04 4. 1019
Lot No.
USE OF BUILDING ��1s c<C SJR
Signed..._.''`6"'y SHEET M L,
150 N0. HAH
CAMPBELL, CA 95A6_404
7838. MC CLELLAN _ COUNTY S/M
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