3263 10R7 November Dr.
6") Building Permit Confirmed 11
Not Required --ff—
CITY OF SAN JOSE BUILDING DEPARTMENT
C9E CATION FOR MECHANICAL 2PERMIT
. .. ./.- ----. 19 74 Permit No..... ..... . ..- `-
The undersigned h y makes application to the Plum6ing Inspector of the City of San Jose
for a permit to install a mochanicel wofk Us}ed�onJr revarseiida��%
Exemption from req uiraman!f��te{e of`CeLfie-ioCon{rac4o"r's License is hereby claimed
'6y undersigned: as-owner ❑ statement filed ❑
Undersigned attests that his State of California Contractor's License #-2650941C-20►—
is in full force and effect and properly/authorizes }his+applicafiioof
San Jose City Business License sG#'� Il 44-0 1$10
I certify that in the performance of the work for which this permit is issued I shall not employ
any person inn m s-to-v' late the workman's compensation laws of California.
OWNER
:=
No.
ADDRESS
USE OF BUILDING SINGLE FAMILY RES.
TRANE HOME COMFORT CENTER Signed------....
280-20 (6.77)
,i . a4c
1087 November Dr. Trane
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