38631 7907 AUGUST fAUt
Building Permit Confirmed C3
Not Required 0
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING
Z PERMIT
Dafe.. Q�-(1.:.La.... ... .................. I -- -- Pe i tNo,.... (,�63 j--------.........
The under!' ne era a a{' }o m a r of the Ci{ of San Jose
9 9 Y
fora permit }o in al n u as } averse side.
Exemption from requireme for State of Ca ornia for Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed ��
Undersigned asts 'ha' his State of California Contractor's License
is in full fort eff t and proparl u}h�ojix3y4 s a p ,�n�.,,^^
Sen Josa it B n Lieense /S/1 � 11�.'
I eertif 'hat th perform ea e w for w r i pe mit is issued I shall not employ
any person in ny ner so as {o violafe the workmen's mpentation laws of California.
OWNER i� G
ADDRESS 7 6 2 Lof No.
USE OF BUILDING
Signed . ----- ---- .....
L79071AUGUST LANE ACE PLBG. 280�I
o DCo Smpvvio 0 o.p vac .rT �.�.�.
N C n S
') O •� � O O O O_ � 9 �' ZI C O 3' p N. 'fA N.. N O O
N
^' r _ _.. �:'� N: 0 N 1•. N•> .,:�. .. TT:N. OM1 -.: N i.N N m
.Z
O
T
m
m
W a W a aon ma 1 -�
9 C 0 � N O p O. % N O O N •. O N O N
O % E
T � >
C) -n A 0 p m m p Z
N N a 0
mm � c � p �n o• � o' D