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Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATII/ON FOR MECHANICAL PERMIT
Date..... /6--------._ 1'.N- Permit No.-- -0-..................----
The under hereby makes appl`cation to the Plumbing Inspector of the IIICity of San Jose
for a permit to install the �c`jariic9Vworkfli t ilfon�the�iarorsa�iide'.
Exemption from require mani'fo'5tate`-of'Celifornia for Clatomenl sf'I icden❑se is hereby claimed
by undersigned: as owner ❑
Undersigned attests that his State of California Contractor's Lir.`enVA ^4(—
is in full force and effect and properly a fho�ime 1h, 4' licafio�(,�„liR9�r
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 sodas to violate the workmen's compensation laws of California.
OWNER
No.
ADDRESS 7 4 N_1Tim-
USE OF BUILDItvf �--- -
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leo-§an do(b" .cornia 95112
7448. WilIA'We&1554 Trane
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