20937 (2) 7767 nE LA VARVE PHONE: 277-4581
Building Permit Confirmed ❑
ClNot Required . ❑
/
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT'
Date...�udersi
.._... .._ �./......_..... 19../.�Pormi+ No......ZV..c��9..7...................
Thegnedh eby makes ap'�ice�(,on }o by Plu nbin Inspector of the City of San Jose
fora permit to insta i e c niZp{/�o }isfed o 1J{�, ver a side.
Exemption from r ✓ fo e i� li ni on tractor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑ ,/ ,/ /
Undersigned attests that Imo$}a}a. oCalif � rrYEica_ nse_# T 9 Y'c7-
is in full force end eflecf and/pry pryAf,.r/-I'y/�a'u}Thor' t rs a sown
San'Jose City Business Lice o
I certify thet in fha performance of the work for which this permit is issued I shall not employ
any person in any(-manner so es t vci/llaa,}e the workmen's compensation laws of California.
OWNER/f7 �y
ADDRESS �� / a O/ Lot No.
u47
USE OF BUILDING —
28 —4 N
47507 DE LA FARGE J.D.M.S_ ETMETAL
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