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24318 (2) PHONE: 277T4581 1040 COLONY HILLS LANE Building Permit Confirmed ❑ Not Required --EL-1 CITY OF SAN JOSE BUILDING DEPARTMENT APPLICATION FOR MECHANICAL PERMIT Date. .................... ... 19.0.pp.0 Permit No... r�.k.J.� _._...._....- The undersigned hereby makes application to the Plumbing Inspector of the City of-San Jose for a permit to install the mechanical work listed on the reverse side. Exemption from requirement for State of California for Contractor's License is hereby claimed r by undersigned: as owner ❑ statement filed ❑ ^ R Undersigned attests that his State of California Contractor's License # CS�� is in full force and effect and properly authorizes this application. San Jose City Business License # 5^) -- (� ❑ 1 certify that in the performance of the work for which this permit is issued I shall not employ any person. 11^^ Job Address )014G `iA 1 n . Lot No. Owner 1P1lmE S �OTSD Tract No. Permittee USE OF BUILDING Signed .�_ .... zao-4o4n 1040 COLONY HILLS LANE VALLEY HEATING N O 'O O c c c� c� 7: 0 > 3 a a p n O n p a + O E p o 0 CL a r n O 31 0 M 3 O 70 � C1 41 2 r D m N• v T 11 � ~ T a m n •n q m T '� 'r a m n 1 z o p a