29804 803 KII;'M1ST. Building Permit Confirmed ff
Not Required ❑
CITY OF SAN JOSE i BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date------N,T:4�.t.` Z`$-........ 19.77. Permit No....OZ���y ..................
The undersigns ereby ekes application to fha Plumbing I pactor of the City of San Jose
for a permit to install pl o / revorse side.
Esamption from req ' n el r ' r actor's License is hereby claimed
by undersigned: s owner ❑ sfafemenf filed [Pr
Undersigned attests that his State of California Contractor's Licensa #.L(1/?7-7—R CC '-7)
is in full force and affect and pr lyyiufhori is pp/li�til
San Jose City Business Licen (i�_,o O�4
1 certify that in the performance of the workafor which this permit rs issued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNERY i� 4 e ZGC
ADDRESS Lot No. I
USE OF BUILDING /i✓l T�+� ���
Signedj�!lFl7cr
280-,401n
803 KIM STREET ADMIRAL.
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