5454 (2) 7675 Erin
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
/APPLICATION FOR MECHANICAL
(�PERMIT
Dafe.[.G�----�0-----...._------------ 197y Permit No.__,5 - `/
The undersigned here by J^pkegs �application to the Plumb' Inspec#or of the City of San Jose
for a permit 4o ins}all }ha r�fec�r'a kahgf�l'r -d 7� yaa+�re Fs side,
Exemption from requi f1 .lJfa al' or m kr
el
License is hereby claimed
by undersigned: a owner ❑ statement filed ❑
Undersigned attests that his #a}e of California Cocf,*�r�gFyr's LicegS�r J�
is in full force and effect and properly ff�uthorises thine"
San Jose City Business License # `J`�{— O 0 Y.L
I certify that in theperformance of the work for which + is permit is issued I shall not employ
any person in any
.,mann er so as to violate the workmen's compensation laws of California.
OWNER
ADDRESS_7�7YJ CG�y jr. Lot No.
USE OF BUILDING�ri�/eer=C_
.1. SignedCL=-al .lClfV/--
280-20 81G S I !'.nLuf110
7675 Er nilro, Calit. 94"2
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