28621 79nl - t9TTVAL COURT
' Building,Permit Confirmed—E3
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
""�...�--- 1977 Permit No------�e.$6��
Date... -- - - . . .._.......:-----------------
The
-- -- - -
The undersigned hereby� c 1/ t /I m ing Inspector of the City of San Jose
for a permit
to install p 6m eF o V9e �s on the reverse side.
Exemption from require or 5 ate of C liforn'a for Contractor's qLicense is hereby claimed
6y undersigned: as ownef 0nf:) 15� d��
Undersigned attests that his State of C i n Conliactors L ansa
is in full force and effect and properly authorizes this application.
San Jose City Business License #
I certify that in the performance of the work for which this permit is issued-) shall not emplo;
any person in any manner o as to violate the workm n's/co/mpensation laws of California.
OWNER Alz manner),
zlYAy✓ ,. 4//zSTLyw. d '.
ADDRESS Z!%.Z Z ,4C'7;a-zC C f Lot No.
USE OF BUILDING /T/ hJ Si/G_ GCC /%24-T IF S,
Signed !' ......... ---------------..----------.
280-4o1n
7923 FESTIVAL COURT OWNER
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