6519 7635 Squirewood way p
_I Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PE
31/75.......... .--- 19-------. Permit No...._..4o..t.l�r�7
pRMIT
Date---------------. —�1 _ ...--------------- ---------
The undersigned hereby JJJ����kes application to the Plumbing Inspector of the City of San Jose
fora permit }o ins#all the 1)w�k�lhfy��a sada.
Exemption from 'aqui' 't<n}�y'7� 5s o a if rr(ie� on}ra c#or's License is hereby claimed
by undersigned: d4 owner ❑ statement file 25�51'1'�
Undersigned attests that his State of Celiforr Caniractor's License
is in full force and effect and properly author
pylic n.r/���,
San Jose City Business License .# 2�` . 012
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 Gus 3tachelhaus
ADDRESS 7635 Squirewood Clay Lot No.
USE OF,BUILDING Reside@ce
Signed-----1(..0-:�.:`x:�a�_.. ..:- -- - ---7-------
280-20 ; O
7635 Squirewood valley heating
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