24047 801 MILLER AVENUE
Building Permit Confirmed
Not Required
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION. FOR PLUMBING and/or GAS PIPING PERMIT
........................ -2-4-
-- ...... 19-2-4- Permit No.....-< - ..C�------------------
The
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The undersigned hereby makes application to the Plumbing Inspector of the City of San Jose
or a permit }o install plu ingrf�s}ures and/or pi listed on the verse side.
y E:- pion fro Qy�ire en} or,sSlQY Cali o nia or
on
trac or islaimed
C
nda si a s J4444Jwn\1tr ❑ s}e} f
i e a esfs that
is }a e o lifornia r rs L en
is in full for. and -fsect and properly aufhorixes this application.
San Joso iiy Business License # _ - O
I certify thaf in the performance of thaw - is issued I shell not employ
any parson m any manner so as to violate }he wor men's co.penzefion laws of California.
OWNER 6//w-6f t"/T' rZCO .r/Gf
ADDRESS �' d ! /L!/Lb t/? /� yE sJ Lot No.
USE OF BUILDING o /yam
280-30(9-73) Signed,l�l�-r+ .C,l.--✓a'--'---,�.✓- ----
801 MILLER AVENUE ��/���f' ( ` 7 �1(TM14NG
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