98857 • 1486 e #�Own �' S�ec75 oN
asBuilding Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Da#e........ ---j--5 -------------------'---- -Permif No.--------
The undersigned hereby ?. .S.n.r
is io o t W 1 actor. of the City of Sen Jose
for a permit to
ins}all pu i p s i areversesido.
Exemption from requir afa { a i o♦ for Contractor's Licenae is hereby claimedby'undersigned: ❑ statement filed ❑
Undersigned attests that his State ��pp�Y�K�ornia C tr i j� # r
is in full force and effect and proper) Nr3JFes th . n. -
San Jose City Business License # l// CSO 7 3/
I certify that in the performance of the work for which this permit is issued I shall riot employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER %eC- '/N
ADDRESS /} AG e�t7yl¢is�acdN iPfi.
USE OF BUILDING G
200-3e 10-ee S lg ned -------------.....-.
1486 Jamestown Drithannod Plbge
•
-- — _ ..
,1'l 486 `JWESTOWNY DR Jd ❑
J{
B I in or i�Canfume '�
i '.,T c co
'
s Not Req red - ❑
r:
"SAN ` F BUILDINGf DEPARTMENTr "
r I CITY'OF °' 5 ;
at
rt APPLICATION OR MECHANICAL PERMIT, '^'
76PermitNP�-19
the'G4y'bf jSan Jose
undarsignedQharery.0 intractde
ti,.r rr FTS{ora ' ermit to mdall�t 9
p { , .'" o ors License ismhpreb ela�med. si " r '
" ¢Ezemp+ion from,req i�remant orl State of Celiforma , Coph+a+amen} ;iled ❑ '�r'`s - f
' by `undersigned as_dwner ❑ �i y '"},, d- r X258540` a �y 'i}'
gyri -x-Pt y Undersigned efietiictha+chis�S} fe of lif.o r c r ase
L ''r`' .,is in full gforco and effect and pi Y ora' i },� ASs�
rt<s ".t r San Josa Gty Busipess L¢ense ,#
46 00012 r .
tvs ''t'�Htd iEl�eerti{y }ha+ idlthe parformubd"o of}thii wdrk fo;XcM3this 1pormrt a 'Issuod rl shell no employ —J`s t
penan�m any manner so as-'.N.dviola}e fhe..workmen a'compensahan`I6wstaf California q o- ,� .
William' 'G. ;Clute
r.> e r
t 1486Jamestown°i Drive ' t Lf�No r Fr t
-
� b �p
���� �' '8th til`*i t`�-r5...f n d �✓y d i±"xt� ({°"¢ f�e1 y'"?'� ro Sa h �e f, �Ni.�'�un 1�e�'��} �4�� xi". ��dr.
a' .-`��-,fk � FUSE°O�CBd;.UILDING Residence I � p, w 4 .
• 'f�.Sk"f r� !yu�.x a ICK"�,q '$ }!a„�` iq±wn �'th�i$��ead IMJ Ai ���' TJt ''r� {1" r r. �
�`�'�1486 JAMESTOWN<DR+';�#+� ,� "^. VALLEY"HTG`'' "?�:'��t•y.7. • � -%���' '-""�