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181447804 ROBINDELL WAY Building Permit Confirmed ❑ Not Required ❑ CITY OF SAN JOSE BUILDING DEPARTMENT AP LICATION FOR MECHANICAL PERMIT Date...... I1K_� Permit No........._ �... ( ........_--- The undersigned hereby pnms ppl� a}' n to a Plu pg In cl r of the City of San Jose for a permit to install the acsC ✓/y'o ist r��a a e Exemption from requir�firif"+or/5 a Bali ornte for�CoCor's License is hereby claimed by undersigned: as owner ❑ statement filed ❑ ,//, Undersigned attests the+ his State of Califo i ontractor's License # is in full force and effect and properly authoV ep r ti 1�l San Jose City Business License $k '� / I certify the+ in the performance of the work for which this permit is issued I shall not erryploy any person in any manner 3"s io violefe }he workmaexs/compensation laws of Californ i -OL RR OWNER (��7 �i c k` " ADDRES! USE OF J 280-404n 7804 ROBINDELL WAY A & H HEATING & A/C Z J V c (3 c m m � 4)a > > o M S Q Z