6237 827 September ct.
5081-5
71 Building Permit Confirmed ❑�.�
Not Required
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL /PERMIT
Date._----1-28-75--------------------------... 19... Permit No.----_._.-(�_--L --1. ......
The undersigned here�y ekes application to the Plumbing Imp.ctor of the City of San Jose
for a permit to install Ihp me�ica w list on.{r�e'r�+a%f�}ird JJ
Exemption from requirement f�'Stata o alifoo is4o,C"onntrseors License is hereby claimed
by undersigned: as owner C statement filed ❑
Undersigned attests that his State of California Q`ont for's ua.,�e,#ii292�95 r i
is in full force and effect and properly au}h4r5 es tf; Rlica}ion7�f-���—�
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 manner so as to violate the workmen's compensation laws of California.
OWNER Ne Cicero
ADDRESS P.
827 September Court Lot No.
USE OF BUILDING
Rental
i
Signed
zao-zB (ea3) Atlas He ting & ting Co
827 September ct atlAfq
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