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10671 7515 MOLTZEN DRIVE Building Permit Confirmed ❑ Not Required ❑ CITY OF SAN JOSE BUILDING DEPARTMENT APPLICATION FOR MECHANICAL PERMIT Date.-------/.-(...---'-----._..-----. 197: .. Permit No.----/`07-1----------------_.. The undersigned her'FS ke p 'ca ' n fy�f{� l9 Inspector of the City o4 San Jose for a permit to ins}a11 jH �c st�o`grm}(tR sa side. Exemption from ra u�rama for } e o eli orn a Contra cfor's License is hereby claimed by undersigned: as owner ❑ statement.filed 2 (:G SCJ 5C. 'y 3 Undersigned attests thathis State of �� w Cont fops' 9 is in full force and effect and properly e t : y40 // San Jose City Business License 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 er2o d q / ADDRESS 7�/5 / OIfZe1s Lot No. USE OF 'BUILDING r'5 Signed..... . . CQ 280-20 (9-73) 7515 MOLTZEN DRIVE PARKER SHEET METAL N Z D S T O O o m o m w w u N C N -J 0 a � O CA v O F � � z m � O • � T a 'a a