10672 7522 KINGSBURY PLACE
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date.S--/-.h ..... .- ------—................ 19?Q/. Permit No........../° 7 ----------
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The undersigned heeby makes application To the Plumb,' Inspector of the City of San Jose
fore permit To msial c Isis n re s side,
Exemption from qui or f e li o tractor's Licens�ey- hereby claimed
by undersigned: as owner ❑ stetemenf;filed aS��N3
Undersigned attests that his State of California Contractor's License # .Z r7gDV 7
is in full force and effect and properly eu axe�s },his eppli io, /A /1
San Jose City Business License .#
I certify that in the performance of the work for which this permit is issued shall not employ
any person in any mann r so as to violato the workmen's compensation laws of California. .
OWNER /rte. P/I
ADDRESS s4�t y
Z Z f 6 i/ Lot No.
, 3
- 7J I�
USE OF 'BUILDING—A—?—CS-
Signed
BUILDING ?—CS_
I
Signed----
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75(922-73)KINGSBURY PLACE PARKER SHEET METAL,
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