34824 1541 ASTAR LANE
Building Permit Confirmed '
Not Required 1�0
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION
FOR PLUMBING and/or GAS PIPING PERMIT
Date-----------------------fO..-_2� 197j?.. Permit No........ Sa
The undersigned here makes a plica{ion 4o the Plum ns {or of A City of San Jose
for a permit }o install um f' n pip o r erre side.
Exemption from r qu' or f rry o on or's License is hereby claimed
by undersigned: es owner statement filed.gi� ���
Undersigned attes+s that I is State of if Co actor's Lic nse # 7--T�_�.T
is in full force and effect and properly e s al
San Jose City Business License #
I certify that in the performance of }he work for which chis permi4 s issued I shell not employ
any person in any manner so�asnlo riole}e }he kmen's compensation laws of California. pot
OWNER � ��
t � Lo+�No.`,�
ADDRESS /,5 � •• DJ
USE OF BUILDING //
280-30(9-73}, Signed...... . . ...1:/. •.. - -
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