46071 7506 DUMM DRIVE Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Dafe. ,.U. Permit No.----------
The undersigned hereby application o fha Plu bin In for of the City of San Jose
for a permit to insle 11 plJN^� r� ..fn,
pit reverse side.
Exemption from re i� of � or e r on'
License is hereby claimed
by undersigned: r ❑ statement filed /��n
Undersigned d attests that his State C {ornit actor,rLLL s
• is in full force end effect and proper) e I u(/ :es this pl' G n
San Jose City Business License #���
I certify that in the performance of1he work for which This permit is ssued 1 shell not employ
any person in any manner so as to violate the workmen's compensation laws of California.
Job Address '95e)O J ) L M6 S D& Lot No.
Owner rA- 6� Q IC Tract No.
Permiffee
USE OF BUILDING Signed:. Ck lalbta
(/ 290-4otn
7500 DUMAS DRIVE ACE PLUMBING
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