4595859 Alderbrook
CITY OF SAN JOSE
APPLICATION
Date-------...----- ----
The undersigne
for a permit to f
Exemption fr
by undersigned:
Undersigned att
is in full force and
San Jose City B
I certify that in
any person in any C
C' Building Permit Confirmed ❑
Not Required P--
BUILDING DEPARTMENT
FOR PLUMBING and /or GAS PIPING PERMIT
-.27-- _. 19.73. ermyf No. ------------------
ak a af' e P m g p or of the City of San Jose
s or i pa is d h averse side.
eme for State of C ' nia for Contractor's License is hereby claimed
as owner ❑ statement filed ❑ _
sat is State of California Contractor's License # ���� S
and.progerly a0ho4zps this application.
to
of
'I shall not employ
California.
OWNER d /TCr'Sau I ^
ADDRESS &. `j AL226CO20ok I-,' Lot No.
USE OF BUILDING
859 Alderbrook Ace
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