154721102 Milkey way (�
I Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date-----�LL�-
IU ----1.f.- ............. 19_,7 Permit No. ----- -11-`7`-=--./..--------------
The undersigned hereb makes application To the Plumbing Inspector of the City of San Jose
fora permit to install p b s pipeff ed a reverse side.
Exemption from re tri( Factor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑
Undersigned attests that his State of Calif is Contractor's License # �.z8739s
is in full force and effect and properly authorT ' pylic 'o
San Jose City Business License #
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.
OWNER E/1NE.S7 S sJ C�L�N G
ADDRESS //D .2. Lot No.
USE OF BUILDING Q'Z
280-30 (9-73) Signed ---- ;4r, /- -----° � ,'„dsQllL�d-----:....
1102 Milky way Kai
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