5870 (2) 6 )Clifford Dr. .
Building Permit Confirmed ❑ �-
qNot Required
CITY OF. SAN JOSE 1 BUILDING DEPARTMENT
` APPLICATION FOR MECHANICAL PERMIT
Date----1.�- .c�.— ....-------.....---- 19).Y.. Permit No...---------`�.- D----.....
The undersigned h aby m kes a lic Tion } the ?l Ging Insp f the City of San Jose
for a permit }o instal The e a n re e i .
Uemp}ion {rem r r S} Ca11fa, ..a fo C ra s License is hereby claimed
by undersigned: as owner ❑ statement filed
Undersigned ai}ests }hat is State
of lifornia Con}ractor's License # ��C�
is in full force and effect end properly glith a this
San Jose City Business License *r [v �l� (i'.r'
I certify that in the performance�he work for which this permit is ue shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER cl:>
ADDRESS �� ` L�� eQ � Lot� No.
USE OF BUILDIN
Signed --- - -----
280-20
6637 Cliffo�d Dr-
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