11453 (2) 7608 PEACH BLOSSOM DR. ^
lJJ'h Building Permit Confirmed-15
Not Required
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR
�JMECHANICAL
[�PERMIT.
Date------------- 0...............L..... 19/.� Permit No....1 --- ----5-.---------.....
The undersigned hereby. nn+sfapp, ce`fion*`6 fha Plumbyncj/Inipecfor of the City of San Jose
for a permit to install thhmecharuaal workdlisted ori 1 e�everse-side.
Exemption from requirementJor State of California for Contractor's License is hereby claimed
by undersigned: as owner.0 /* .GSL A 0,lisment%filed 'j,t
Undersigned attests that his State.of.Cab(orniaiConiracfor's Lcense # Z g/ —% g=1
is in full force and effect and properly aµff�ori:es this applica5t. n.
` San Jose City Business License # LTJ( r+
I certify that in theperformance 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 L"/ we-s r
ADDRESS 0 g FeacL li�IDSSot,, C-�> r Lot No.
USE OF BUILDING Ee-S
Signed_� / ^tL�- - --------- --
280-20 WeSQ-s7 Cs1 S/, CO.
7608 PEACH BLOSSOM DR. WESENVCONST. CO.
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