5260 239 Kenmore
Building Permit Confirmed ❑
Not Required _4DF
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Dafe------'..------------ - --6----------�35ppy��l�aaaermif No.-------- - --------..'--_..
The undersigned hereby m es applic 'o P�mla'�n Ins r of the City of San Jose
for a permit to insfall plumb' g es/Ifs}e verso side.
Exemption from require or to o alifornia for Contractor's License is hereby claimed
by undersigned: -as owner ❑ statement filed ❑
Undersigned attests that his State of C nippp_Contracf se
is in full force and effect and properly euih �by app i
San Jose City Business License # ly/
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 91'(rr^-�r
ADDRESS '239 &/-.,,,Lof No.
USE OF BUILDING
280.30 SiVALLEY--WATER---CONDITIONING,--INC:
239 Kenmore Valley- Water
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