18025 1135 Kentwood 'Avenue
Building Permit Confirmed ❑
_ Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING j/or GAS PIPING PERMIT
Date..---/.r/�- .�-1.—. 4..'-------------- Ili .- Permit No.....1.&�6-------------------
-The undersigned hereby makes applica on o the Plumbing Inspector of the City of San Jose
for a permit to install plumbing xt s n s lis I, ov rso side.
Exemption from requirement f of o f r n e s License is hereby claimed
by undersigned: as ow er ❑ statement filed ❑ QQ
Undersigned d attests that his State of Cali.eyl Contractors
j
is in full force end effect and properly authorizes(){/ply licefi
San Jose City Business License #—
I certify that in the performance of the work for which this permit is issued 4
shall not employ
any person in any mann so es to violate the workmen's compensation laws of California.
OWNER������5 o2-Sr3— /31T�
ADDRESS .J GXSaJ Lot No.
USE OF BUILDING 2
280-30(9-73) $i
ned--- ' --------
1135
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Kentwood Avenue Pepper PluniKing servi-
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