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Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date....55!XP------------------------------------ 1976. Permit No.---------- --------------------
The
...................The undersig6dh a y j�p 'cat' ha P ing Inspector of the City of Sen Jose
fora permit to ns} ist a arse side.
Exemption from requ men} f r State
of California for Contractor's License is hereby claimed
by undersigned: as owner statement filed ❑
Undersigned attests that his State o�iajfbcfi
is in full force and effect and properly ui :es r �a p`'afri efion.
San Jose City Business License # —f0 —6g q �7
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.
OWNERG
ADDRESS a-7- Lot No. 3
USE OF BUILDING
A & J VALLEY PLUMBING
Signed ' - -' ... ...... - - - - ...- '
280-BO P. 0. BOX 524 — SANTA CLARA, CALIE.
1120 ROLLINGDELL COURT A & J VALLEY PLUMBING
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