95628134 PARK VILLAM
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE / BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
'-7 ] r 951 2.
Date---7.--._---....-----"�--..... 199-6_ Permit No.._..... ------------------------------
The undersigned haby makes'applice+ioo) to'+hepPlumbing Inspector of the City of San Jose
fora permit to instalvthe mechvanical"workbli,syte
Exemption from requireYin/tfor�Statpe>d .o, ri +hpe'.r.ev'rer,se=�caiid
e�
of Californ is cfor Contractor's License is Hereby claimed
by undersigned: (/ as owner ❑'statement filed
Undersigned attests that his State of California Contractor's License # 2
is in full force and effect and properly authorizes f��a�icattion/. �J/
San Jose City Business License # JX
1 certify +hat in the performance of the work fo hich 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 kAYV 4 L, -n
ADDRESS �Lz q I --Am UI 1I A Lot No.
USE OF'BUILDING ee
Sigtd-
280-M�
8134 PARK VILLA HEARTH FIRE
c
c
c
c
a.
0
� C
Z
J
\ N d
if \
Q
III d
a.
0
� C
Z
70
n
n
G1
2
�
• d
R rt
`G
7
m
N N
d
\ N d
if \
Q
III d
a.
0
� C
Z
70
n
n
G1
2
�
D
T
\ N d
if \
Q
III d