Loading...
20557 1111 DERBYSHIRE DR Building Permit Confirmed ❑^ ' Not Required L1— CITY OF SAN JOSE BUILDING DEPARTMENT APPLICATION FOR PLUMBING and/or G S PIPING PERMIT Date.. i _. ...... .._....-------.. 19/J. ./!. Permit N The ndersigne hereby makes applica,ion to e�Plum Inspector of the City of Sen Jose for a permit to ' fa f' r d/ pi tho reyerse side. Exemption f of i / a rni f or License is hereby claimed by undersigned: es owner ❑ statement filed Undersigned affests that his State f California Contractor's Li/c/ansa is in full forco and affect and proper) a f s hi et' y�r// Sen Jose City Business License # _(�,r/ fyy/rf/"y"/ 1 certify that in the performance of the work for which this perms# is issuod I shall not employ any person in any maRM o as to violate the workmen's compensation laws of California. LI OWNER1 ADDRESS _//�J / l2CLLv(�L Lot No. USE OF BUILDING- 280-30 UILDING _280-30(9-73) - Signed------ .-- --._L/ .. - 1111 DERBYSHIRE DRD ` c oop � � -lo DC o 2 T p � No 0 0 0a � a o 0 n < ° r) 2 O O O 0 9 �' T N fl i N N N C N A N O D < R N m T 0 N N N m m N O T m m W D W > m9 W9 vH G'7fy ; T k N ° p N O N p N < po Z 3 '° 3 0 � � m m• y' �np G �p 2T o n m �' o' m N C x D m H c' s 0 � -n m —n T m `° 3 m -n -n Sl MT m A A m A 0 T °M p p m m o Z. in NITT D ° m, m `^ cc T p p v+ p p y m — m D Z N > m