32886 7894 BELKNAP
C Building Permit Confirmed
Not Required ❑
CITY OF SAN JOSE / BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS
�PIPING PERMIT
7-2—
Date......-_.J- ".•.... e2------......... 19 j. Permit No...---7 2
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The undersign hereby ma ti the mbi Ir o4 the Cify of San Jose
for a permit to ' stall fi pi li verse side.
Exemption ro raqui n or at of a o nie for Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑
Undersigned at4t .t State oL California Contractor's License #
is in full forte endoperly aufhorixes chis ap litatioSan Jose Cify a # 3I certify }het iance of } wch a i} i ed I shall not employ
any person in anyto violet th workmen's som'pansa}io aws of California:
OWNER /S`Eu i9
ADDRESS �� 9f B e�Yn ago Lot No.
USE OF BUILDING de
28o-4oln
89 BELKNAP P. H. PLBG
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