18117 (2) 7483 MOLTZEN DR
Building Permit Confirmed ❑
Not Required R�
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOMECHANICAL
iiPERMIT
Date.............. ....... ..... --------_...._.... 1917
Permit ............
The undersigned here a eJ �9R�1c n Pu
Inspector of the City of San Jose
fora permit }o install }t�p.�n �puAitf h r rse side.
Exemption from requirema for $tate of California for Contractor's Lice sa is hereby claimed
by undersigned: as owner ❑ statement filed
Undersigned attests that his State Nall' rnia t ct
is in full force and effect and properly e esiflei
San Jose City Business License # ZJ'
I certify that in the performance of the work for which this permit is issued I shall no} employ
any person in any manner so as to violate theorkmen's compensation laws of California.
OWNER r� / �C _ /�
ADDRESS /� � �d� I� %ot No.
USE OF BUILDING
Sigrsed. -------- --------- ----------- ..L/
2 0-404n
7483 MOLTZEN DR A 6 H HTG 8 A/C
� } = 99 } § 2
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