247031101 KENTWOOD AVENUE
Building Permit Confirmed ffr—
/ Nof.Required ❑
CITY OF SAN JOSE / BUILDING. DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date ---- Q.c...I...... ----------------------- /
19, Permit No. ---- -- 70.3
The undersigned hereby ma p lic i e lu A e the City of San Jose
fora permit }o install plumb.
s ' ed�eeeue' side.
Exemption from requiremen for 5 e of lifornie for Contractorrz License is hereby claimed
by undersigned: as owner statement filed ❑
Undersigned d offs than his State of CeL' n on#ra ors Li c se
is in an force end affect and 'properly eufhyfiz ep
Sen Jose City Business License- #_
���//////
I certify that in the performance of the work for which this permit is issued I shell not employ
any person in any manner -so as to violate the workmen's compensation laws of California.
OWNER
ADDRESS✓f o� Ood ULot No.
USE OF BUILDING
280-30 (9-73) Signed ........ ---..y.�. �1.,.. ..
1101 KENTWOOD AVENUE OWNER '
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