10671 (2) 7493 MOLTZEN DRIVE
Building Permit Confirmed ❑
Not Required - ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL. PERMIT
Date-- 5' --------------------- 19!Z4., Permit No.------- �� 7---------------------
The undersigned here a s a a tfr lu Inspector of the City of San Jose
for a permit }o install t e rsa1
we o e ve a side,
Exemption from requiremen .for Stafe of alifornia for Contractor's License is h reby claimed
by undersigned: as owner statement filed [2 � SG^�3
Undersigned attests that his Sia}e ofaliforffyy Contractor's License # 2 7 q C h�_
is in full force and effect and properlyAfDosiSea�}his li t' n. _
San Jose City Business License
I certify that in the performance of the work for which this permi is issued I shall not employ
any person in.any manner so as to violate the workmen's compensation laws of California.
OWNER /m�/' 0A) e- �� n
ADDRESS 7y9 5{�. 2o/� Zen �� Lot No.
USE OF'BUILDING fK -
Signed
280-20 (9-73)
7493 MOLTZEN DRIVE 1ARKER SHEET METAL
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