10672 7498 KINGSKTRY PLACE
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
j APPLICATION FOR MECHANICAL PERMIT
Date-------------........... __.----..-...._--...- 19,2(.. Permit No:.-------./mw_7v............. .
I The undersigned hereb kes t' To op�f'm�'M?Inspector of the City of San Jose
foi a permit to install the63
/� rse side.
Exemption from requirement or State of California for.Con+ractor's License is hereby claimed
6y, undersigned:undersigned: as owner statement, filed [!T-C--,- 5C-4/
q Undersigned attests that his State of f Ilio Co r
is:in full force and effect and properly u o t`o
San Jose City Business License #
I certify that in the performance of the work for which this permit is issued I shall not employ
ane person in any manner so as to violate the workmen's compensation laws of California.
OWNER fY—�e /I
. 111 L
ADDRESS 7 `1 3P /� fps r bw� FI Lot No.
USE OF 'BUILDING l�__'•
Signedde- - �4L... -- - --
'3' 19' INGS}3URY PLACE PARKER SHEET METAL
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