NO PERMIT NUMBER945 ROSE BLOSSOM DR.
W
CITY OF SAN JOSE
APPLICATION FOR
(ANTHONY) POOL
Building Permit Confirm
Not Required `Y ❑ ; t
BUILDING DEPARTMENT
ELECTRICAL
/PER T ,6ZDf6Af-er
Date----- �--
0---------------- --- -------- 191? Permit NiS/ /-------
The undersigned hereby makes plication to the Electrical Inspec# he City
of San Jose
for a permit to install eledricel t i' s f4f�`^�e side.
Exemption from requireme o orn or t// ors License is hereby claimed
by undersigned: as ow r 0 s#a#amen filed G ��
Undersigned attests that his State of California Con s Li
is in full force and effect and properly authorises fh'
San Jose City Business License * �(
• I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any. menner so as to violate the workmen's compensation laws of Celifornie.d jj f
OWNER Al M UAl I --
ADDRESS
ADDRESS 9 `id' 8041 QLQ SSOAn hl?
USE OF BUILDING S/NC LF
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