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11567 1128 130Y,Y�Yt5G1��Y,Y� CD�i13�' Building Permit Confirmed ❑ Not Required ❑ CITY OF SAN JOSE BUILDING DEPARTMENT APPLICATION FOR MECHANICAL PERMIT Date............ ....................J3..' _..... 19.7b. Permit No.------f.� ................. The undersigned here ekes a pli do o t�Plymbing I spec}or of the City of San Jose for a permit 4o install } e Fj!t a s' e. Exemption from req cram or S e of Cal o ni for tractor's License is hereby claimed by undersigned: as owner ❑ statement file Undersigned attests that his State of California;?l"tr�ee,rfor's L' is in full force and effect and properly au}horixas /applica i San Jose City Business License # / l� —o7o 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. OWNER Pc a �•• . ADDRESS Lot No. fe USE OF BUILDING Signed....A-&-�----ALLEY PL------------------------------- 280-30 P, Q BOX 524 - SANTA CLARA, CALM 1128 ROLLINGDELL COURT A & J VALLEY PLUMBING in O v v v o m n ` o a s 0 0 W D ll m � C \ 0 0 in q _• S 0 � T 0 00 4 Z Y A C ry m m - � v o a' O � T N D m Z m 0 Vf .A ^' m T '3 '" o N v ffn m