30144 898 Brent
CITY OF SAN JOSE BUILDING DEPARTMENT
�APPLICATION FOR PLUMBING -PERMIT C{
Date........ 195.......... Permit No.-------- b/y + ..........
The undersigned e kZsaeiid
n I Inspector of the City of
San Jose for e p n / ipas listed on the reverse
side hereof, and agrees t inst fixtures and/or pipes in accordance with the
provisions of Article VIII, Chap the �,,jpill" , and all other
laws applicable thereto. ��fJ��(�/
OWNER ........... � L ? ,L _......---_..........
ADDRESS ............ .- ...�C?'C/L��J�. .fJ�IJ/.
USE OF BUILDING ...........//r! {-------------------------- ................................
--rll.{..... •....................
Signed ./v.
Form 280.30
888 Brent Regal
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