12347 7568 RAINBOW DR':
Building Permit Confirmed .
Not Required
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FO //MECHANICAL PERMIT
Date---`%.`5 ......................... I�Y... Permit No._./1�/.. .X17
The undersigned hereb makes application to the Plumbing Inspect of the City of San Jose
for a permit to install e� y n } r e
Exemption from rtLgyirim6iMJor t is r 'ontr or's License is hereby claimed
by undersigned:
as owner ❑ stat filed 0
Undersigned affesls that his State of Califor C Mracfors a e
is in full force and effect and properly author' es �ypli
Sen Jose City Business License $k
I certify that in the performance of the work for which this permit is issued I shell not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER
ADDRESS ,o'x Lot No.
USE OF 'BUILDING f
Signed/ffii17 - t .p+?�- !/
280-20 (9-73) `i!` ��ilar+�
7568 RAINBOW DR. ATLAS HTG. ff VENT. .
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