106727544 KINGSBURY PLACE
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL .wPE-R/MIT
Date -15-
-.1.-----------.......---........ 19.x7..6 -
.. Permit No. -----10-(-........-----------
The undersigned h y makes ap kation to the Plumbing Inspector of the City of San Jose
for a permit to insta th oste W rey6 zi
Exemption from or a el' o a or rector's License i reby claimedN J
by undersigned: as owner ❑ statement, filed �� e- 2,b `o C—
Undersigned attests that his State of C4Qforni. Confractoo s ice s
is in full force and effect and properly a� o= s a
Sen Jose Cit Business License
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER ;M� el( L p
ADDRESS 7 J- 041 /� t syt y G/r Lot No.
USE OF'BUILDING—tip
' Signed...�i%C..e�"- -r1'l ........... - ..........
280-20 (9-73
7544 kING.SBiJRY PLACE PARKER SHEET ,METAL
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