124631101 KENTWOOD AVENUE Building Permit Confirmed,..9—
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APP
'7IIC/ATION FOR MECHANICAL /PERMIT
Date ...l .-v-a--- ................_.... i9.E..-7�- Permit No.3... .............. ......
The undersigned hereby rpake} app" tion'to f1 PI birq I TP -11 r of the City of San Jose
fore permit to install the rp4chpfiic6lrwoik� ted on 1h rav�
Exemption from requvemen/}l•fer/7jlite oPC liforni for Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed
Undersigned attests that his State of California ContractsLice
is in full force and effect and properly a"ut/o�rjngcs^'f6is h�nav
San Jose City Business License #��7V
I certify that in the performance of the work for which this per if is issued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER PFS"a
ADDRESS
/v,r/d-Q�/ Lot No.
Ll / NI/� �
USE OF BU
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o 1101 KENTWOOD AVENUE QUIRT &
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