42480 911 LIBERTY c6uAT
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Building Permi} Confirmed
No} Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date...:_IUiL..Y....../.-i?..._............... 1912.. Permit No.-A.14-b-0.....................
The undersigned hereby a pp' do t e PI 6i for of the City of San Jose
for a permit to install p in s pas s averse side.
Exemption from requirement for tate of ali r a or Contractor's License is hereby claimed
by undersigned: as owner statement filed ❑
Undersigned attests that his State California Confracfor's License #
is in full force and effect and properlyJe�hR this li
San Jose City Business License #
I certify that in the performance of the work for which this permil,'ns issued I shall not amplyy
any person in any manner so as to violate the workmen's compensation laws of California.l,/Gy7,(l,
OWNER i T4x-o–S J
ADDRESS ` f'TY —T Lot No.
USE OF BUILDING
Signed ..... ..... ---------V--- ---
O c yr tan—
280-401n'
911 LIBERTY COURT OWNER
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