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46799 1181 ELMSFORD Building Permit Confirmed ❑ Not Required ❑ CITY OF SAN JOSE BUILDING DEPARTMENT APPLICATION FOR PLUMBING and/or GAUSS PIPING PERMIT Date--- ..........-L.0 .I�------------- 19C0. Permit No...7... ... ...7 .- '---'----- N - `� The undersigned hereb kcs eppljal'ax, }o he Plu ing Inspec}or of the City of San Jose for a permit to install pl ps1 pi on the reverse side. Exemption from re ,Jretor e el or a or Contractor's License is hereby claimed by undersigned: as owner ❑ nistatement filed( Undersigned attests that his State Califora Contractor's License # is in full force and effect and properly hofffy'f a W, San Jose City Business License # I r T— I certify that in the performance of the work for which this pe it is issued I shall not employ any person in any manner to as to violate the workmen's compensation laws of California. Job Address /121 F� mS�� Lot No. Owner Tract No. Permittee USE OF BUILDING Signed.�Q/�y'. - _. u� �/ 280-401n 1181 ELMSFORD ACE PLUMBING c W O T O U � E * f IE U A r ` w f F pN . Jf• Y .T r N N m T N N N m a O N a N C Z O T m, m WD WAD W9 Wa stn G'1EH3 T !^ Z fin � �n 1v. 9 y R C O O O O p O r O T O p N m O m �• N o °. T O x E Z v D T T T N D D T n O A N T A o T rt o Z 'n m N m D ry m N m m A m A O f m m �' c - A o ff o o D I v m > z A d N i >