7543 8162 Park Villa circle
Building Permit Confirmed E1
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date_.��......._.. �_ _ ...... ----..... 1975. Permit No..-------- --.5� ...............
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Tha undersig ne hereby makes appllca}ion +o Al Plumbing'lnspec+or of the City of San Jose
for a permit to install the mechanical work listed on'+he reverse side.
Exemption from requirement for-�State:of California for Contractor's License is hereby claimed
by undersigned: as ow ar�QQ s}aiemant,{iled
Undersigned attests that his Sia}e df California Confrais L
c}oicenseensu # _-�33550
is in full force and effect and properly authp55 �res ep5ion`.
San Jose City Business License # y
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 Mr. Fi-ansOrL,
ADDRESS t 1(Q,0 PO r�k �L� e� L Lot No.
USE OF 'BUILDING (_�e. 14.4 '
Signed . 1� C✓df/(f��/ �
280-20 (9-73) 'rillfalOW
8162 Park Villa Circle
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