18073 1220 YORKSHIRE DRIVE
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR Q)ECHANICALj PERMIT
Date.............YC/1.. _.....-._....--._... 197(1. Permit No.--111.0.7 ..-...----...--_....
«r
The undersigned hereby fakes application To the Plumbing��nspec}or of the City of Sen Jose
for a permit to install the me ti ni al,_wor�st d onAlie r�rs�side.
Exemption from requiramen+rfo,"r tofu ' California for Contractor's License is hereby claimed
by undersigned: ai owner statement filed ❑
Undersigned a}tests that his State of California.Contractor's License #
is in full force and effect and properly authorizes r.�r'".i o thisu/application.
San Jose City Business License #
1 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 thew kmen's compensation laws of California.
OWNER
ADDRESS 2 r Lot No.
USE OF BUILDING (/1
Signed ... ...__....
280-4o4n
1220 YORKSHIRE DRIVE OWNER
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