26436 75377 NEWCASTLE DR `
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE �/ BUILDING DEPARTMENT'
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date-------- 19-----_ Permit No.------
1/26/77
--.....----'.............................. -----
The undersigned Is ab ekes applicatio to A PI
mm�'l�Wq Inspector of the City of San Jose
for a permit to install p rn e/nV 070 the reverse side.
` Esemp}ion from re e e o I' ontrecfor's License is hereby claimed
by undersigned: as owner statement filed❑' El
Undersigned attests that his State of CeliforrJa Coys}iactor's License # 23/.281
Undersigned
is in full force and affect and properly auThorixas{{}h' �gliceTi /�/ '/
San Jose City Business License # (� ( Y
I certify that in the performance of the ork for which this parmi�eed I shall not employ
any person in any manner so as to viola}a the workmen's compensation laws of California.
OWNER George Pereira
ADDRESS 7532 Newcastle Dr. S.J. -Lot No.
USE OF BUILDING residence
Signed ....._..SOP MSTER.z..I11C'...........................
280-4oiri
7532 NEWCASTLE DR SOFTMASTER
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