17311 (2) 1382 S. Stelling w 7
\lamfiNN,eSLA / /Urt/ Building Permit Confirmed O!
Not Required
CITY OF SAN JOSE 1 BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date........_........c/...----�0........ 19.70.pPermit No..........l- d I 4-/
The undersigned hereby mekesa application to the Prfh,lumbing'Inspector of the C' of San Jose
for a permit to install the me'che'niea or vli'4ad onat,,r��fier'si sfda.
Exemption from require Ten}�o� $tete o Celifornie forVCvn}ra cfor's;Lice is hereby claimed
by undersigned: es owner ❑ statement fUndersigned attests that his State of California•Coniracipprs License
is in full force and effect and properly authorizes-f ' appliclit
San Jose City Business License # 417V
I certify that in the performance of the work for which this permit is issued I shell not employ
any person in any manner so as to violate 7the workmen's compensation laws of California.
OWNER O /7
ADDRESS �. /���//�� Lot No.
USE OF BUILDING
Signed.../..T.. % ..'.. . " ' - .. .r. ... --. . ..�
280-404n
Sterling A & H Htg & A/C
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