7046 (2) X9
587 o6637 Clifford Drive
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date....---...7..-off------------------- .... 197.5-. Permit No.----OWG-------
`s !:PTha undersi nad hereb i _ e lic i mbi o ify of San Jose
dor�yl'or. a r i.. s9 qy' - r. r .f- 1„-
�or'a,ypermif {otiinstal�'.ifie b ., .4h Es ' � ea °'.r 1 "—'Ili ,
Exemption fiem require ant for }e of a d rma for nfr d 's License Is hereby claimed
by'undersigned:' 4' - as o er ❑ s4aj m of filed ��
Undersigned attests that his State of Califoryyaa cfor i a
is in full force and effect and properly au{horisttsglic io
San Jose City Business License # `1 y
1 certify that in theperformance of the work for which this permit is issued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER �Y .V 2re-f—
ADDRESS � Lot No.
USE OF BUILDING—
vvSignedf� "� --Q------
- ----_---_-_---
280-20 I6-73I �l'7`” ""C - '
6637 Clifford Drive Trane Home C6nter
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