30414 898 BRENT Wa—� Building Permit Confirmed ❑
Not Required
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLIIC#T'ION FOR PLUMBING and/or GAS. PIPI�N{G�/PERMIT
Dat e------C..rf/l�... ------.------- IP2- Permit No.....---- O— -)-I. -------------------
-
undarsignq hereby kes "..neo
�e�Plu Inspector of the City of San Jose
for a permit to ms}ell plupP s} o the reverse side.
Exemption from requ' ' a too. License is hereby claimed
by undersigned: s statement filed [�
Undersigned aftosfs that his State of California Contractor's License # -
is in full force and ef}ecf a d pr perly author* s this application.
San Jose City Business is e
I certify that in }he p , ansa of the o i hi p r t is issued I shell not employ
any person in any j�nar es o ��olete 1 a workmen's comp ;on laws of California.
OWNER /
ADDRESS ,Lot No.
USE OF BUILDING
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