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24807 7577 BOLLINGER Building Permit Confirmed ❑ Not Required ❑ CITY OF SAN JOSE BUILDING DEPARTMENT APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT Date /l/O{!Y .. ..............-- -- 19..`L[n'Peeerm���innnt���No------�yWa7..................... The undersigned he y mak li n- Yg Inspecfor of the City of San Jose fora permit to install pl s / pi li d n the reverso side. Exemption from r qui f o lif m f Erad.r's License is hereby claimed by undersigned: s owner ❑ statement filed ❑ .s Undersigned attests that his State of California Contractor's License #_31_2_733 is in full force and af(ec} end erly auffiori:es is appI'cefio San Jose City Business Licen a �/" I certify }ha} in the perfor he wor pe is i u I shall not employ any person in any manner �so"as }e Oho w rk ens c mpons ' n I s of California. OWNER ADDRESS _7-;C7 Rn Lot No.,3 USE OF BUILDING �C 280-30(9-13) ,.- / Signed---------- --/fq�/t.�,---- 7577 BOLLINGER �ACIF�CECHANIC�A2! c o 0 y f o o A c ? S o 0 0 ? 0 0 0 0 0 0 0 0 0 •c o - � T m r G N � m G �. o N � � � � � � c m c T � E ° � n N o ° � _• N � nx � " m e � N N V m V m m W 9 9 W 9 W 9 ° ° N p T O p N H H St. v a o N o o ` <' m '� B. 0 3 c r d T n. A d '9 2 0 m 1 ~ 9. N O 0 T D , xT Z �W T O m p f A \ ° 0T A m o mA o Z m o > m m ti `p ° D V v � 'T m > z