16368 1181 YORKSHIRE DR
Building Permit Confirmed ❑ .
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL, PERMIT
Date........//-7". .. .?....... 19---..... Permit No. ................
The undersigned hereby makes epplica}ion to the Pluming Inspector of the City of San Jose
for a permit to install threOrnechanicel worr�jt}ads ort�th ro�.,ari jsida,9
Ezemp}ion from req wramant={or-Ste}e of California for Con}racfor. License is hereby claimed
by undersigned: ei owner ❑ statement filed ❑ f
Undersigned attests that his State of California?Contractor's License #
is in full force and effect and properly euthoria''esL!.iphii)e pplication. �
Sen Jose City Business License
I certify that in the performance of the work for which this permit is issued I shall not employ
I
any person in any man 'r so es to violafe the workmen's compensation laws of California.
OWNER SM
Lot No.
ADDRESS
USE OF BUILDING
Signed-- - - - -------=----- -----------------
.
1181 YORKSHIRE DR
K 6 E CONST 280-404n
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