21730 17880 MC CHELLAN ROAD PHONE: 277-4581
Building Permit Confirmed ❑
s'1 Not Required Ez�_
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR 1MECHANICAL PERMIT
Date........ ........._.....V..' .__... 19.1..1p
_. Permit No....._2/.7J�c�---------------
The undersigned here makes• IV., t lye/Pum nspeclor of }he City of San Jose
for permit 4o In
i c air side.
Exemption from requireme orah ornia for Contractor's License is hereby claimed .
by undersigned: as owner ❑ statement filed ❑
Undersigned attests that his State•of Ifornia Con fracfois License #
is in full force and effect and properly fh ri Ihis of08, i
San Jose City Business License # ,�—
I certify that in the performance of the work for which this permit—is issued I shell not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER&tIMM
�y� I !=E5
ADDRESS r7, ss I 11LC h� D Lot No.
USE OF BUILDING� IIJ�� �-
- ......
Signed ... ... (/�/jQ�
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, 7880 MC CHELLAN ROAD VALLEY HEATING
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