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10563 (2) 7493 MOLTZEN DRIVE Building Permit Confirmed ❑ Not Required ❑ CITY OF SAN JOSE BUILDING DEPARTMENT APPLICATION FOR MECHANICAL PERMIT ra d7s—Gj Date----_....----c�...-./----------------- 1976_ Permit No...---- ------------------------.....----- The undersigned here eke p is 'qqn to if Inspector of the City of San Jose fora permit 4o install } e i fste a er a side. Exemption from re tram for S} }e I ornia ?Fe License is hereby claimed by undersigned: as owner ❑ statement filed ❑ /7/S� Undersigned attests that his State of C/ o Coonnfrp{•,c}ors i ens is in full force and affect and properly aJ% }hi'r%'v 1' San Joie City Business License # 1 certify that in the performance of the work for which this permit is issued 1 shall not employ any person in any manner so as to violate the workmen's compensation laws of California. TCACY OWNER 1 2 a N ELC. ADDRESS 74 q 2+I o I T?EN 04 , Lot No. 9 USE OF BUILDING- Signed UILDING Signed-------- ----------------------------- 280-20 � tw �R . w------ --- 280-20 16-73) 7493 MOLTZEN DRIVE CENTRAL SERVICE a o c c c cp o o c n 0 0 o f a � a c v o _ Z o(^ IA (V �1 m ^! `i m � ut a n 1 A S a