39622 7335 BOTLINGER ROADPHONE: 277-4581 1 6O v
` Building Permit Confirmed
1l\ Not Required ❑
CITY OF SAN JOSE �G3 BUILDING DEPARTMENT
APPL.IICATION FOR PLUMBING and/or GAS PIPING PERMIT
4 Da+e.. ...-" .. ..._._.................. 19:72 Permit No.._...�..-�.r.......... .�..:--......
The undersigned her y make pl' at' to the Plu ing Inspector of the City of San Jose
for a permit to ins}all um i f to o s s d on the revers. side.
Exemption from re uir n o t I foniractor's License is hereby claimed
by undersigned: as owner ❑ ,statement filed a4 �/5 J
Undersigned attests that his State A California. Contractor's Lice se $k
is in full force and effect and properly y\`'tho�r' }his plti)n
San Jose City Business License # - i ��A
❑ I certify that in.the performance of e w or whit tis permit is"14edl I shall not employ, ;
any person.
• OWNER S L �Cn fi�crr S
ADDRESS 7,333li`i� �i Q�� Lot
�No.
USE OF BUILDING
Signed... 7f ... -- ---------------------------
isu
. �� 280-40tH
7I 339 BOLLINGER ROAD R.H. WRIGHT CONST.
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