19845 7851 BELKNAP Alt PHONE:2]]-4581
Building Permit Confirmed ❑
Not Required ❑ .�
CITY OF SAN JOSE lit BUILDING DEPARTMENT
API ATION FOR MECHANICAL PERMIT
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Date...... ..................--._....... 19/..�Permit No.... .<...P...T...�...---...............
The undo ' no hereby ekes plic ion fo ha Plumbin actor of the City of San Jose
for a permit o in II a ec is list"44's
th' av si a,
Esempfi an }a alit a r ractor's License is hereby claimed[Iby undersigned: es owner statement filed 1
Undersigned atlas s that his State of California Contractor's License #_,;2/300
is in full force and effect and properly authgri th' lication.
San Jose City Busifiess License # - ' G =
I certify that in he per ce of A r ' f } l rmi a issued I shell not employ
any person in any an r s to vio e / e s ns ion bwlof California.
OWNER �5T✓S S~^^yIYJ.
ADDRESS S P /p /1 Lot No.
USE OF BUILDING e 5 C-
4.
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signed.../ . . 7
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