2640 (2) Building Permit Confirmed ❑
Not Required
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL2PE�R/M'IT
Date----_....-------------.-.// -3v --- 197:3.- Permit No.--...... 4.7-Q..----------
The undersigned h eby me I' ati �o/;WPI bi g Inspector of the City of San Jose
fora permit 4o inzi f rk ed rze side.
Exemption froAir Pre for State of California for Contractor's License is hereby claimed
by undersignod: es ownsQ �hfa ❑
Undersigned attests that his Stat al'for n f e Z 5 Z 37
is in full force and effect and propery a/u� crises this application.
San Jose City Business License # T y— 0/.3 Yy
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any manner so az to violate the workmen's compensation laws of California.
OWNER—CA," P /3F`-(-, T)
ADDRESS Lot No.
USE OF BUILDING R�
��--�.G� S .P-.--�
zao-zo Signed--
866 E. Estates ace
ti
N O T t 9 c n N
y 9 9 S O O c O b y a y
wD TO
0
p Z + <' 3 w m
N
D O D
9 O N
O d
< J
v Z
N
O m
m
� In i n
r
N D rte- T c 0 o
C
Z N m a o o T v
m m m '3 O `o v
N n
0 T o p m a m
T T n d
M
m m a T A n
N ^ m m
m v
N m m
m m
m
a O e m fly
O
M
m