37430 7629 1=2ftWoan COURTw�
D-� Building Permit Confirmed
No} Required N
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING snd/or GAS PIPING PERMIT
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Date..........` ---- .--- ;. ,Alu_�2
/....: Permit No........ ...Z.. ..3.c,-----------
The undersigned h eb } um bing Inspector of the City of San Jose
for a permit }o install m �jcrr s L':red on the reverse side.
Exemption from requirement or tate of,California for Contractor's Licensld ereby claimed
by undersigned: as owner /(yy���� f fe it d
tN
Undersigned attests that his Stara of authorizes
t o pli
is in full force and effect and properly authorises this appCcafi .^-/
San Jose City Business License # (�
I certify that in the performance of the work for which As 4rmif is issued I shall not employ
any parson in any manner so as to violate the workmen's compensation laws of California. L
OWNER C7
ADDRESS EL of No. /
USE OF BUILDING
Signed.... ....... -- ------
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