10672 (2) 7492 KINGSBURY PLACE
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date-----`�-19 ................. ........ 192k Permit No.... .. ....Y!e-67y--....
The undersigned here�7,'J��/p,( i o i P m � yy'�e or of the City of San Jose
for a permit to ins}all Thelas¢ibsa itre "rSe lL6a"
"Exemption from requirement or S#e#e of Californiafor Contractor's License iXhorelby claimed
by undersigned: as owner ❑ statement filed
J Undersigned attests that his State of Ca' rnia'Conirecfors nse r/
is in full force and effect and properly au ori applicaT'
San Jose City Business License # 4 6--4 00
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 /� v I (
ADDRESS '�`�� 1/1 S 6u^-7 Lot No.
USE OF 'BUILDING ' 9!— pp /
21 1 Signed.-1-�/-,b- r7------jl Yl----------------------------- --
30-2 "k_I
7492 KINGSBURY PLACE PARKER SHEET METAL
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