13567 1655 SARATOGA SUNNYVALE ROAD Building Permit Confirmed Ej—
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date........... ............. ..._............... 19........ Permit Ncs..jcY!5 6_7...-_........---... ..---
The undersigned hereby rpak app ice}is }os h9} PI r 'p �s�protor of the City of San Jose
for a permit to install fha ech I k�l' �"9
Exemption from requiremen r fate o aliforna for Contractor's License is hereby claimed
by undersigned: as wnor ❑ statement filed ❑
Undersigned attests that his State of Califop4 Contractor's License #
is in full force and effect and properly authorises —app 1. ff
San Jose City Business License # �6
I certify That in the performance of the work for which this permit is issued I shell of employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER a/-SqA 57ZWEIJ's I�STA✓IL4r✓I
ADDRESS /G5^ ' 54(LA 7-06 A _,S lot No.
USE OF BUILDING
Signed. a--.. f---............. .. ....f_..-.... ....-- .. -...-
��SNA /Zesr
280-404n
1655 SARATOGA & SUNNXVALEsROAD ELISHA STEPHEN' S RES'
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