15789 7635 RAINBOW DR Ro✓%A�iewaT�u
Building Permit Confirm ed 12—�
Not Required '❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPQLIC/A-TION FOR gMECHANICAL PERMIT
Date... �fl�--....._--_........... 19L.t. Permit No. ..
...6- .----....._....
The undersi red her makes a_ lyiic�gl.ion�}o the P bin Inspe 999r of the City of San Jose
fora permit to gins}all asm're of Cd on e v se
Exemption from r a of Gf nie/i r nha ors License is hereby claimed
by undersigned: as owner statement filed ❑
Undersigned attests that his State of CaliforniaContractor's License #
is in full force and effect and properly authori:es� icati2 - /C 2
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 a(s to violas the workman's compensation laws of California.
OWNER �I L k1�_L'U-- U=1L� m
ADDRESS (n �� R L i n � Q�S., Lot No.
USE OF BUILDING_ -i-Ll L4
Signed
7635 RAINBOW DR
OWNER 28o-4o4n
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