20369 7543 MOLTZEN DR ad'.
y
I 3av, Building Permit Confirmed
Not Required ❑
,CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING_ and/or GAS PIPING PERMIT
Date - -- f ...-- - -------- 19.7-(� Permit NoC2- - ---'--=-
The undersigned hereby makes applicaf' n to the Plumb' Inspector of the City of San Jose
for a permit to install u ,x s /0 6 li the reverse side. .
Exemption from r , m or e a f on tractor's License is hereby claimed
by undersigned: jas owner ❑ statement filed ❑
Undersignedatfest?•,that his State of Calif at�cfo �/7�C�`37
is.in.full force and.effact;and properly authoriz 4 pli
]'.San Jose City Business License # �.�
.I certify that in the performance of the work for which this permit is isss d I shell not employ
.+any person in any manner so as to violate the workmen's compensation laws of California.
OWNER ZVAGr Seo
ADDRESS 7�¢ 3 /7dL72E� (/� Lot No. /3
USE OF BUILDING
Signed. -SJ w/L11-L` .�- YHC.-----------
280-30(9-73) . I
7543 MOLTZEN DR CENTRAL SERVICE '
N -VE DC NxT a 0N ::E IE7crNW EE
0 JC' F 3 _ m m o
o T o ovo ° v 'o
N A m N N O n O m = N O A C
=1 a T 0 ^ N N N m
p N
= O c A N N
N
V A U T
T V O_ i OT d o T 71 N p O mT x \ _ W
•� �o _ 1 ' = m N c IEK
� Tz � . ,� A .n\ m '° 3mT ; •DI D
\ �• m m m T m p o T o A m m n o Z
N m D m m N m A m m p
h oNm
m c o N A o D
U y C m D Z
Z
rn