14835 7644 WEST HILL LANE
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR . ECHANICAL PERMIT
Date----!% ... - -----------...._.......... 197/Permit No.---... . ' ...
The u dsrsigned hereby makes, p lication to the Plumbing Inspector of the City of San Jose
for a permit to install the mock ani dr luted'on he 7 r,,. s
J� , �11.�-��7
Exemption from requirement kfor S4;a of California 'for Coni dors License is hereby claimed
by undersigned: as owr(er ❑ statement filed ❑,
Undersigned attests that his State of Califomie'Con+ractwsfLLicense
is in full force and effect and properly auihorize3itlLs.applicaffon.v
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 sA as to violate the workmen's compensation laws of California.
OWNER r
ADDRESS r /
USE OF BUILDING
Signed - - .. ... .._...:.V... ...
280-20
7644 WEST HILL LANE EHLERT S/M
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