10672 7538 KINGSBURY PLACE
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date....^. ..'..!.-..----.........:..........:. 1994. Permit No....... ..................
i
The undersigned h e i y�sagliorl PIJ� Inspector of the Cif of San Jose
for a permit to 9i nsla i e me oA Rr `tPs/ed�o{i 1F6 .' side. y
Exemption from'raq uireman} for S+a+e oornia for Contractor's License i erebycl ed u 3
by undersigned: as owner Yn/V/%J }e} n�y+'e�,d C—wQ G
Undersigned attests {het his State of-416, 'a C a!(o s i en{ 11� �i 1
is in full force and'effect and properly4r orises this a plicate. _
San Jose City Business License # � ." (�Q 50
I certify that in the performance of the work for which fhis permit is issued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNERll-et?e ff--
ADDRESS� 3 f�S X 10! CJ
5 C✓L u P/ Lot No. ;2,
USE OF BUILDING e
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9,77 11 . Signed---- ..f9.Ir{er--------- �J...-------------
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��75. AINCSBURY PLACE PARKER SHEET METAL
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