211007 544 - XINC98URY PLACE q
/
I
Building Permit Confirmed 9
Not Required ❑
CITY OF SAN JOSE
BUILDING DEPARTMENT
APPLICATION FOR PLUMBING
and/or GAS PIPING PERMIT
Date -----------..------ g -------------- 19-7G--
Permit No. ------- -------------------
Tha undersigned kes a 'cal' n _C
he �fs �i g I s or of City of San Jose
for a permit to install pl bi a pi
I I
ithed.
is o e verse. side.
Exemption from requ Stale Ca i o ri for ontractor's License is hereby claimed
by undersigned: as owner ❑
statement filed ❑
%7r37
Undersigned attests that his State of Celiforni400nt
a for's License #
is in full force and effect and. properly authorises tFhi
'catio''/
San Jose City Business License #' d
a l�'
I certify that in the performance of the work for which this permit is issue I 4hall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER 7—/z 6- Au ErL.L
TR Ac 7- ADDRESS 7d'44 %C/ u qs lluK 4 n L' Lot No. /
X4 i3 _
USE OF BUILDING
280-30 (9.73) Signed ----
7544 KINGSBURY PLACE CENTRAL Service
mi
a C
o
2
T
0
0
N'0
0
0
0 v_
1° �•
pIE
J
y
O
N
-J
N
N
N
o
o
i
T
N
0
p N
a
A
"
O
O,
JI
N
•
N
N
3
p
T.
3
c
r•
N
F
T
c
o
o
i
T
N
0
p N
a
A
"
O
O,
JI
N
•
N
N
3
p
T.
3
c
r•
T
T—
m
p ;
m
N
°
H
m
N
m
N
a°
N
N
A
m
e0��
o
ff
m
—
m�
�
\�'
i
1 O
0