176688045 RAINBOW DR
Building Permit Confirmed•[}
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date..........
r 1 �766�
- _...................._. .._.._. 19.7/. Permit No.....---........................................
The undersigned hareb kes a H tim/� th upsbing p for of the City of San Jose
for a permit }o install th a ed o her r '
Exemption from req amen or Sfa a oI a ifornia or Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed
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Undersigned attests that his State of 8 'iornie Contractor's License #
is in full force and effect and properly a h ' �fhis a i do r
San Jose City Business License # 2-
Icar}i{y that in the performance of No work fors permit is ' ad��I shall n mploy
any person in any manner so as to violate the workmen's compensation laws k.liwr i
OWNER A--BQ�-N tKA Q2. Cff��
ADDRESS An 4-5- 98�1 Q RR 0 L-0 29i V Lot No.
USE OF BUILDING L-awI f
Signed....... - -- .......... ...._.......
V Cot -j 5„�fc..-r, OtJ
280-404n
8045 RAINBOW DR C.D. CONSTRUCTim
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