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14978 (2) 7838 MC CLELLAN Building Permit Confirmed 14-- Not Required ❑ CITY OF SAN JOSE / BUILDING DEPARTMENT APPLICATION FOR MECHANICAL PERMIT Date................._. ...(p./L7J ..._...... 147.7. Permit No.._......./.. - ....... The undersigned hereby makes epplice}io fo e P bip /or of the City of San Jose for a permit to install the c n' ar Exemption from requ' e f r e'o alifornia for Contractors License is hereby claimed by undersigned: as caner ❑ statement filed ❑ Undersigned attests that his State of Celiforni Co rectors ase _ is in full force and effect and properly authorizes f pplice}' l% San Jose City Business License # I certify that in the performance of the work for w c thi$ permit is issued I shall not employ any person in any manner so as to violate the workmen's compensation.laws of California. OWNER _s� C.�S ADDRESS 04 4. 1019 Lot No. USE OF BUILDING ��1s c<C SJR Signed..._.''`6"'y SHEET M L, 150 N0. HAH CAMPBELL, CA 95A6_404 7838. MC CLELLAN _ COUNTY S/M w J S U y � LL LL � lL LL Q H c jn E LL O � 3 m d U O Q 2 0 U d K ^ 1 2 O W Z z d _ > 0 o y u C 3 m o d c m N m m a N o o L a o !!JJ U � 0 u. u. Q Z F