5136 (2) 7941 Rainbow
.Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE\'" BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date.... .. .112y2.t ---g-----...--- 19.T� Permit No. ......_�1.J...(,0....._........
The undersigned her y p he rir-,yp�•�i���I ! e r of the City of Sen Jose
(ore permit To
instal o d o/Fe7dr�
Exemption from requirement or State of California for Contractor's License is hereby claimed
by undersigned: as ower Elstatement filed [7]Undersigned attests that his Statenof Calif ni ntra I4041ZR�
is in full force and effect and properly au+h H + s�appl n. V
Sen Jose City Business License �{'�—p/U.Sa
I certify That in the performance of the work for which this permit is issued I shall not employ
any person in any manner so a to violate the workmen's compensation laws of California.
OWNER
Lot No.
ADDRESS
USE OF BUILDING .�// y
280-20 (9-73)
7941 Rainbow Western Air pond.
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