11567 (2) 1120 norxxrrG>S �r corm
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date....55!XP------------------------------------ 1976. Permit No.---------- --------------------
The
...................The undersig6dh a y j�p 'cat' ha P ing Inspector of the City of Sen Jose
fora permit to ns} ist a arse side.
Exemption from requ men} f r State
of California for Contractor's License is hereby claimed
by undersigned: as owner statement filed ❑
Undersigned attests that his State o�iajfbcfi
is in full force and effect and properly ui :es r �a p`'afri efion.
San Jose City Business License # —f0 —6g q �7
I certify that in the performance 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.
OWNERG
ADDRESS a-7- Lot No. 3
USE OF BUILDING
A & J VALLEY PLUMBING
Signed ' - -' ... ...... - - - - ...- '
280-BO P. 0. BOX 524 — SANTA CLARA, CALIE.
1120 ROLLINGDELL COURT A & J VALLEY PLUMBING
v v S T n
m O A A A 0 m
O " �
O N m'
\ vZi m
D \ m
G1 1 n
C
Z fn Z '^ o 2 T D
m
m A " " "
3 — a
m " a
O
r n
C T T a m a
N m v
� S
N
n
a
m