11567 1144 A=TY02LL COCJF2T
' Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
`:?-5�---------- 19...----- Permit No...-f�5 677
Date p - 1 .....
......
The undersigned hereby makes appli�pti to A I bin Spector of the City of San Jose
for a permit +o install jKe Spey a 6f "Yad { da.
Exemption from re reme or Stat of Ca ifornia for Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed
Undersigned attests that his State of Califor a fracto e�
is in full force and effect and properly authoriz ' app jfgtY(ofi(/
San Jose City Business License # 717—o9ras
I certify that in tha 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 -mss '--- -.. . Ca
ADDRESS���f`y `/, � �u"`' ��
Lot No. ,6
USE OF BUILDING �, A
JVALLEY. PLUMBING---__--.-----_.SigF
280-30 P. 0. BOX 524 — SANTA .111 AI F NG
1144 ROLLINGDELL COURT A & J VAL P
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