20209 7435 TIPTOE LANE PHONE: 277-4581
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date....._ P.!-......_....._...-_.... 19�/. Permit No._p2Q2-0.J�........... _.......
The undersigned hereby makes.applica}ion to the Plumbing Inspector of the /City of San Jose
for a permit to install the mechani..��°°I ✓o
Exemption from requef.m}iha ra a}r� side',
for'Cdn'(f!ettor't License ereby claimed
by undersigned: as owner ❑ statement filed �O
Undersigned attests that his Slate,of California Con racLr's License
is in full force and effect and properly authorises }hi p,.plicR}io
San Jose City Business License # L.,L �'�/
I certify that in the performanceof the work ror which this permi} is issued I shall not employ
any person in any manner so as' violate the workmen's compensation laws of California.
OWNER
ADDRESS rfL/�S T PTDE LN. Lot No.
USE OF BUILDING
Signed........... ------- -------------------------- .. .............
280-404H
7435 TIPTOE ETANP. A & H HTG. & A/C
0
u Q
0 0
u
m d
U �
a w °
K LL h LL- C Q N
Ecz
° _ _ •a m a m
o d LL a O
Z a " ° E ~ W '
Z
> C� a
W I
CL v
O
m •� m ° u, 3 5 v o 'u ° c o 3 E y J c
c� 3 'o .o
u
m m m h U LL S U O O lL11 Q Z 0
H