8329 1 7759 LILAC WAY —
Building Permit Confirmed.-E
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Da+e_o� ' �ZG 7�
---------.._-----....--._..--......... 19........ Permi# No.-----.97, ---�----------
The undersigned hereby makes application to the Plumbing Ins ecfor of the City of San Jose
for a permit to install the e h is ar i
Exemption from req it 4 r t of a o nia for Con rac4or's License is hereby claimed
by undersigned: � s owner ❑ statement filed ❑
Undersigned attests that his State of Calif i nfp for' is e
is in full force and effect and properly �}yy4 ix �,p p/Ii
San Jose,City Business License # T T
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any manners as to vipI a it�he/workm compensation laws of California.
OWNER6,000 Lot No.
ADDRESS 77 ���
USE OF 'BUILDING
Signed... //...�--- ----
280-20.; z0 ,vI ��Qt�r�yG�c /1��f/STo
7759 LILAC WAY BOTHWFT7f
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