40731 626 BARNHART - PHONE: 277-4581
. - Building Permit Confirmed B-�
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPINNG,7 PERMIT
Date...- - -/...9..........:........... ..... 19.7j. Permit No......... .1.1.. -'---
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 ❑ -
Undersigned attests that his State of California Contractor's License # `�•V—�9–
is in full force and effect and�property-authorizes this application.
San Jose City Business License # [7UO X75`
.❑ I certify that in the performance of the work for which this permit is issued I shall not employ
any person.
OWNER ,I
ADDRESS �1 �1ta/U— Lot No.
i •
USE OF BUILDINGS t
/
.. - • Signed ..:..... ......_ ./..�._lei
,.....
/...p�..-./. .:-r-...-------.---...:r
260-40tH
7626 BARNHART APCOS PLBG.
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