11258 1381 Aster Ln D
Building Permit Confirmed (•(
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING-PERMIT
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Date----f . ..-------...---. 197 Permit No......11 . ._S ..Q..-
��-------- - - --...._......
The undersigned hereby k ppI' o PI i In of the City of San Jose
for a permit to install pl es e } rev se side.
Esam ption from req en+ for ate o ,for i { r o re s License is hereby claimed
by undersigned: as caner ❑ statement filed [:1 7
Undersigned attests that his State of California Contractor's License #
is in full force and effect and properly i i e this p at, '
San Jose City Business License # '
I certify that in the performance o s o
ho rk for whicl this perms i issued I shall not employ
any person in any manner so as 4o violate the orkmen's compensation aws of Calliifyrmaa.
OWNER
ADDRESS
USE OF BUILDING -
280-30 (9-73) Sig. ------ ---- --- ---- - --- --------_------
-- -------
1381 Aster S&5/"
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