8342 (2) 932 Cottonwood Dr.
Building Permit Confirmed ❑
Not Required
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
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Date........ I .�- P�e�rm�ifo....._---- --- --/----2'�..----
The undersigned. h r y � A'.Plheremg Inspector of the City of San Jose
for a permit to install a me ental work listed on the reverse side. l
Exemption from requirement for State of California for Contractor's License Its hereby claimed
by undersigned: as owner _ /Meta f ,le
Undersigned attests that his State �nia ayi r0
9
is in full force and effect and proper) �e t o fifes thfs lie li n. III
San Jose City Business License # -
I certify that in the performance'of the work for which this permit is issued"Il shall not employ.
- any person in any manner
so as to violate the workmen's compensation laws of California.
OWNER I� ICFIt42D Ca9pe
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ADDRESS 3 a� tJ f` f Lot No.
USE OF 'BUILDING
Signed -----0- y .... ..
280-20 ; -' OWNER
932 Cottonwood Dr.
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