11961 1129 ROLLINGDELL CT
Building Permit Confirmed/?�
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
/
Date---` ,7----------------- -------_......... 192.e... Permit No.----------/ (-- -...`--f----�- ------
The undersigned e y�fota
on to �o PI blsg Inspector of the City of San Jose
fora permit to ins IIo } �rse side.
Exemption from raquir f C ,fornie or Contractor's License is hereby claimed
by undersigned: statement filed 13
Undersigned attests that his Sta of lifornia C f9r' L'�$k
is in full force and effect and pro �h4rris7es s
San Jose City Business License/ / is
1 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 fjr 4 —
ADDRESS <•% ��< �� Lot No. d'
USE OF BUILDING
si9rea--.l1 1 VFILLEY-PLUIVfBING--------------.
280-30 0. BOX 524 - SANTA CLARA, CALIF.
1129 ROLLINGDELL CT A & J VALLEY
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