10671 7495 MOLTZEN DRIVE Building Permit Confirmed ❑
No} Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
... 197"6_ Permit No. -- .. � � /.. .. ....---
The undersigned here makes lu Inspector of the City of Sen Jose
for a permit fo install } e a s} v sa side.
Ezamption from re a or S}ate of aifornie for Contractor's Licensejseioby claiTd
by undersigned: as owner statement filed [Ir
VL
Undersigned attests that his S}ate of d is Co ac r' is �i L6 /
is in full force and effect and properly fh- a �hi 3 o ,
San Jose City Business License # (7 5"
I certify that in the performance of.the work for which 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 ,/�'a, ne // //
ADDRESS '7` 95 &o17Zen Lot No. �b
USE OF 'BUILDING e `
Signed.... ----5
290-20(9-73)
7495 MOLTZEN DRIVE PARKER SHEET METAL
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