7416 7471 Stanford Place
-- ` Building Permit Confirmed ❑
J Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FORMECHANICAL PERMIT
Date-----------v!....'�- .0................. 19.L--y-`� Permif No. 711./C----------...............
The undersigned hereby r9a#ewowner
n }o the Plymbi� specfor of the City of San Jose
fora permit to install the ��ch sf � v se ide.
Exemption from required n fEl orn�e for on}ractor's License is hereby claimed
by undersigned: as statement filed ❑
Undersigned and
that his State of California lic c se
is in full force end effect and properly authorize pylic%
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 Kmpensation laws of California.P
OWNER a,, / f o) ) �e
ADDRESS 751 7/ Sri40o Fey` p�a 4 6 O No.
USE OF BUILDINGS }�
Signed
280-20 (6-73(
7471 Stanford Place owner
Z D T T O n 2 T
o \
0
T
x
z
�o m0 a y 0 g s
°o v Z
m
ry v m n T m m T (A
N p S
N N
p
N