33291 gab LTBEI2TY COURT Building Permit Confirmo.-In
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS-PIPING /PERMIT
Date./77 / .........'Z 0................ 19J.d . Permit No.-----—2—) 1...................
The undersigned herpob makes ep licn to Ins actor of the City of San Jose
fora ermif to install mb' i r } reverse side.
Exemption from r.& r or .e actor's License is hereby claimed
by undersigned: s owner ❑ statement filed ❑
Undersigned attests that his State of Celi(ornCo actors ce se
is in full force and effect and properly aufhorixa 1 ( 'icafi
San Jose City Business License # /Y .�
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California. S-A
OWNER 172, la t f= —n
ADDRESS 9310 C1- Lot No.
USE OF BUILDING f itis o A�i 41
Signed ... < - --v-2_---------------
_'0%f!L ?ueL-i
280_401n
930 LIBERTY COURT ROYAL POOLS
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