15320 7400 Tiptoe Lane n 0/
Building Permit Confirmed ❑
Not Required Q�
CITY OF SAN JOSE — �— . BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date ........... _' -�a9 19! . Permit No...15 . ................-
The undersigned hereby makes application to the Plumbing Inspector of the City of San Jose
for a permit to install the mechanical work listed on the reverse side.
Exemption from requirement for State of California for Contractor's License is hereby claimed
by undersigned: as owner ❑ statement file 0����
Undersigned attests that his State of California Contractor's License !Js
is in full force and effect and properly( authorises this application.
San Jose City Business License # 4R—ZZ
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 J0�
ADDRESS �� 1yu"=L '�f`� Lot No.
USE OF BUILDING
Signed�rn .�J.... --. ....--`Gr
- 7400. Tiptoe Lane
Trane 280-404n
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