16375 (2) 8117 PRESIDIO DR
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date......�� .. .-....._................._. 1977 Permit No.------ L.. ?... ..
The undersigned heroby9rnakespa ppliceiioni}o:+Fie Plum binge Inspector of the City of San Jose
for a permit to install iha mechanical�work'lii}ad:ono+ha revarse�side
.(Li/� / v Y �'
Exemption from requirement for/State of California for Co rac4or's License is hereby claimed
by undersigned: asiowner ❑ statement filed ❑
Undersigned attests that his State of California Contractor's License # 7 / 9 ,
is in full force and effect and properly authorizes:+his application!A
San Jose City Business License # �U�f
I certify that in the performance of tli 'work for which this permit is issued I shall not employ
any person in any manner so as to violate the workmen's cc�-ommp—ansa}ion laws of California.
OWNER
ADDRESS (� Lot No.
USE OF BUILDING_ 9 l/
� Signet`
� 280-404n
8117 PRESIDIO DR ATLAS HTG & 'LENT
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