42003 \ 1553 ASTER LANE �I/A�,/�n(�y^/'
Building Permit Confirme Y/
Not Required
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date------------�'-- =L.---------------- 19-�- Permit No.- - P-3-------------------
The undersigned hereby makes application to the Plumbing Inspector of the City of San Jose
for a permit to install plumbing fixtures and/or pipes listed on the reverse side.
Exemption from requirement for State of California for Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed ;F6r�95�—
Undersigned attests that his State of California Contractor's License
is in full force and effect and properly au}h }hisga pylic }ir4on//-
San Jose City Business License # ;o iJA,ez— �717
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 viol the workmen's compensation laws of California.
OWNER Z"Wo
ADDRESS ��+5�� /A /A L/ . Lot No. ��
..USE OF BUILDING
280-30 (9-73) ----
t
4�.CGG4PZ�P551 3 ASTEAQUARIUS POOLS
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