19442 (2) 7447 WILD FLOWER 'WAY
Building Permit Confirmed ❑
17 Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION/ FOR 77��MyECHANICALQPERMIT
Dafe... /D._�2.T........ 19 79.. Permit No.--------�C... ---------_....
The undersigned hereby makes application to the Plumbing Inspector of the City of San Jose
for a permit fo install the machenical work,listed,o,the reverse side.
rr i�✓'� . i i / i/ i)v, ..r".
Exemption from requirement°for State�of'Celiforma=for Contractor s,Lv:ense is hereby claimed
by undersigned: as owner ❑ sfatemeni filed ❑p ! u
Undersigned attests that his State of California Contractor's License #
is in full force and effect and properly authorriiae$ this applicaation?may
San Jose City Business License # / ��,`•/ !N/% (-70rta1 �t
I certify that in the performance of the work for which this permit is issued I shell not agloy�
any person in any manner so as to violate the workmen's compensation laws of California. (�IIJJ Z
OWNER-
^ �n y�Iy^^ f pj✓1 //—x -
ADDRESS / 7Y Wi/ �Io�l�l�Z� �" �1 Lot No.
�
USE OF BUILDINGX
SJ�f�/ A)
��yy /
lc. (?Q/YL "� Signed _.. .._ .0//. ---80- -
/ O n
7447 WILD FLOWER WAY CUSTOM HO C ORT CENT]
7 —
Z D T T
N O C C CO 0 O O — Q c p O . < d
a c T a E n n
CL
IL H o
' m
p � C
Y
Z
Q T O a O n n E N
to 70 � ° °'. .o " a d
m T O T T Op !
m '
�n a Ti
Io to �o I Ito �e
a