5577 (2) 7408 Fallenleaf
/ Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL^ PERMIT
nRMIT
Date......------------�G-..a2� - 19;7/'-/ Permit No.........J_.��../._--------------------
The undersigned ,arab makes application to the Plu7 Inspector of the City of San Jose
for a permit {o ins}all t a a r a n rVv rs� side.
Exemp{ion from ra 'lifnf:n for $r�-Galifor�Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑
Undersigned attests {hat his State li#p�srib `( a4o3�2
is in full force and effect and properly a r' s I iis��p�{ a4,
(wa.(/
San Jose City Business License .# Q 2.
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 as to violate the workmen's compensation laws of California.
OWNER_�{ 2 _� 4�/S
Lot No.
ADDRESS
USE OF BUILDING L�Fs/�EnJC6
i Signed !f: -----------�.1.... .. ..--- �_
280-20 (6-73)
9408 Fallenleaf TanP. � f� /FI�r/EL /✓�
Z D T T O O O 2 T O m m m
a O
—
o_
to to a a n m ^
\ w T o y C ^ 3 to �•
to
v (i1 n 1D m o —
0 41 i
t �
i m
1 V Z
O A a 0 G1 2 S D
s
(�+ m '3 o m a Z
n a —
0 0 9 < E
O to O n ^ m
� m
^ m T
i1_ n N N
\ w Y O
a