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17608 (2) 905 ROSE BLOSSOM DR. n6 YLlr 1'141V Building Permit Confirmed1e' Not Required ❑ CITY OF SAN JOSE i7 BUILDING DEPARTMENT APPLICATION FOR MECHANICAL PERMIT Date_ _L _............._..... 19Z.GPermit No..........I_...16--©f--------------- The undersigned hereby e a pl' do a P 'ng, s e of the City of San Jose fora permit to install the ch %5� t rev r Exemption from requirement (o tate o ali(or a fo on rac or's License is hereby claimed by undersigned: as wner,l_ statement filed ❑ Undersigned attests the} his State of Calif is Contractor's License # . is in full force-and effect and properly author' e app San Jose City Business License # �� I certify that in the performance of the work for which this permit is issued I shall not a loy any person in an manner so as to(viola�te the workmen's compensation laws of California. OWNER Er � 'L �� TT ADDRESS 90.5 Rove. Do&sO� Jt- Lot No. USE OF BUILDING F �e ' Signed. -,...o . .. ..._ - :.- -------- 280-404n 905 ROSE BLOSSOM DR. OWNER °0 0 ° /eU] > —2 0 r ° N K LL 0 IL LL LL LL � ip LL c v 3 > o 'aoLL � � Q S S l9 U d Z � RCp LU IL a m V Z Z0 CL ° y d d ° o F a i i V i m U E U `a m m .o o u u v m _a U m m m �n U LL 2 U p p LL LL Q 0 N