28586 7830 MC CLELLAN
Building Permit Confirmed
.O 49LI Not Required
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING�PERMIT
Date........................c a_-7-------- 19.72 Permit No.-----
.'-----------
The undersigned here makes application to the Plupbin spec}or of the Cify of San Jose
for a permit to install u i ¢ p' 1 e revers. side.
Exemption from o a 'or ' rector's License is hereby'claimed
by undersigned: as owner ❑ zia}smart filed ❑
Undersigned attests that his State of California Contractor's License # �� c'X 6
is in full force and effect and proper oath s this pl' a ' n. a15 �
San Jose City Business License
1 certify that in the performanc of the work for which this perms is issued I shall not employ
any person in any manner so as-to violate theworkmen's compensation laws of California.
OWNER _
ADDRESS /783 MoC IPIIAAJ Lot No.
USE OF BUILDING Slu4�P -I�,clLly
A & 1 VALLEY PLUMBING
280 30 Signed-------------:---------------------------------------------------.
P. 0. BOX 524 - SANTA CLARA. CALIF.
7830 MC CLELLAN A S J VALLEY
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