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85109 (2) dst3 9 Building Permit Confirmed ❑. Not Required ❑ CITY OF SAN JOSE 111jmQu<JT .BUILDING DEPARTMENT APPLICATION FOR MECHANICA}. PERMIT / Date...../.'...-/-....--- .... ........... 19- Permit No. - -✓-<-.0-. -- - ------- The undersigned her y makes appica4ion to the Plumbing Inspector of the Cify of San Jose for a permit 4o install a Gal R1 JJ wo Iso 0 1 ev�6rs side, Exemption from r e �for\Ste�f,C nia fo�-C tractor's License is hereby claimed by undersigned: / as owner statement filed a Undersigned attests that his State of qli dMia Con1fo ' se is in full force and effect and properly �u3 a�ihis R Z San Jose City Business License # t I certify that in the performance of the work fo which this permit is issued I shall not employ any person in any myv,/ as 4o violate thew en s1c"e�pensa400n laws of California. OWNER /__L� / / Lot No. ADDRESS USE OF BUILDING_ Signed.% .--- --' - _. . .. -- 280-30 842 Kim St. X�- A 7 m Ry O O O O O \ < s N N T v Z m ° - v o Z ^ N � O m ti C Z m m ` m 3 o cm y W � N � d a