10887 1391 Aster Lane
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING
QPERMIT
Date----------------------------- ---�K 197�rmit No.------—1 D::l...�?�
-- ---- ---
The undersigned hereby makes application to the Plumbing Inspector of the City of San Jose
for a permit f install lambing fixtures and/or pipes listed on the reverse side.
Exemption from q r of �Celi r 'e'f C rs License is hereby claimed
by undersigned: + ate rt
filed E��
Undersigned at that State o Cab ornia onf cto ' mense #
is in full force and effect an properly authorizes this a p ica)ion.
San Jose City Business License #
I certify that in the per{ormanca e o k for wh' i p r 'i is is ea ( sh l not employ
any person in any manner so to v I workrn on a o4 ornia.
OWNER
ADDRESS FZ -!p Lot No.
USE OF BUILDING
280-30(9-731/ Signed .- -- -- y..3+. --� -------------
1391 'Aster Lane Lifetime
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