6209 7675 Erin Way I
"I Building Permit Confirmed,]'
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
/ �
Da#e-----------11-�---....-�----------------------- 19.._.... Permi# No.---------------L7..<..=U------....--.---
The undersigned hereb�r.•rnakes ep lic }ion � the Plumbing Inspector of the City of San Jose
fora permit to ins}all /Irmb/-���'A((('y fi r an a li ad- a reverse side.
Exemption from regpJrreln'£nW 5} f I' o i� actor's License is hereby claimed
by undersigned: s own statement filed ❑
Undersigned attests that his oStatepen o (orpia Coplra s L se
is in full force and affect and properly au i s•4hiss p a
San Jose City Business License #
I certify that in the.performance of the work for which this permit is issued I shall not employ
any person in anymannerso as to violate the workmen's compensation laws of California.
OWNER I hOrvWKS 4 •
ADDRESS 105' e:y-( Lot No.
USE OF BUILDINGf ' Q
280 30 ` Si9ned. .L.GG<.C.�.. ..... %.��:C..._------.......
7675 Erin Way ✓J Ebert
WpT H1 ::E DC NST_ p OHze * f Ec H W E E
d E 0 0 o =, o -• 0 0 o o 0 , 0 0 0
n O , -• J y O , J N N N O
3 _ '^ 0 J c E
E O
R 0 O' ry k
0 1
N m y N N ] O y O O N O R J N N C
J O C A N N
N
O
T
m
m------------
co D W v W 9 W 9 y N 07t yK. TZ H 4.r �
OOMOx0m m
< < i 3 H 3 0 -0 . 3 c r D
i i m T T n. Ov Np p 0 J TI =
p y N n p N O. J N N C x D E
OD •'A 0 T T T INiI T m 1 s
m m n T ip G'1 T o A m o m A o =
` m m
V T.
O N T = Z
1 1 \ IC
0 m