4538 960 November drive
Building Permit Confirmed ❑
Not Required ❑
-CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICA/L/ PERMIT
Date...�.- j----------) 197.y. Permi# No.-------75 �.----------._--------
The undersigned herebyrmakes application to the Plumbing Inspector of the City of San Jose
for a permit to install the j4h anicWl oorr_k ll f d��ey er eUcl
Exemption from License is hereby claimed
by undersigned: !es owner,}rj\ statement filed C]Undersigned attests that his State of California Contractor's License {"
is in full force and effect and properly a�ori�this�p�U ��/'IR p
San Jose City Business License # }R
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any m�^eer so as to'Q' late th workme r compensation laws of California.
OWNER c� VCti ^ �� IIC�b•rS
ADDRESS 96v NO Je —a boy %jDr Lot No.6y .
USE OF 'BUILDING tf` �^ tl Welk r
Signed.._��),I/'t^--- /L ----- - . . .. ... ...
280-20(9-73)
960 November drive haG alher�
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