3406 946 November Dr.
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL/.. PE7R,7MIT
Date _7fa-: --"---. 197° .. Permit No... 't'..�l..Y'-----------------------
The undersigned hereby makes application to the Plumbing Inspector of the City of San Jose
for a permit 4o ins}alh}hoim¢chanical work list
e`d' re`rerse siiJi.
Exemption from regwrement/for State sof California fo
� r�onfractor•s License is hereby claimed
by undersigned: Ws owner ❑ statement filed ❑
Undersigned attests that his State of California Contractor's License # 22 7JU _
is in full force and effect and properly'autho/r��/ rizes this! ...application. gs
v .
San Jose City Business License #'i✓�S'� — /,6�/(�i7Z�3 P
/r
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 as to violate the workmen's compensation laws of California.
OWNER AE n7
ADDRESS W-1 Lot No.
USE OF BUILDING
Signed -...rte/
280-20 (6.73)
946 November Dr. (- Anex A/C,
m Z D T S O O n x �
o
O O C
a
v
'o
m Z Z
CL N o
V
m
O `« c
Z
m
m m a x c s
°
y 3 'd 0 a Z
91)
m m
n_
J C C O C
A
d