34217 7561 NEWCASTLE DR
Building Permit Confirmed
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBIN and/or GAS PIPING PERMIT -
p 3 � �
Date.:.._.... .---_._.. ..............-----.'------ 19-----... Permit No.-J--(-..�1�------
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The u darsignad hereby s t in s actor of the City of San Jose
for a permit to install plu as.. i a e reverse side.
Exemption from req uiremenf. State of i(ornia for Con+rec}or's License is hereby claimed
by undersigned: as owner /�f� 3 T l
Undersigned attests that his State of r�/e��on s e J
is in full force and effect and properly authorizes this applicafigryvDQ
San Jose City Business License #
I certify that in the performance of the work for which is permit is issued I shall not employ
any person in any mamanner so as to violate the workman's compensation laws of California.
OWNER ti+�i�1/,,6�L L
ADDRESS 7� �� fafS9G E Lot No. O�r
USE OF BUILDING ����� T�?•
Signed --�-�v ...------
280-4oin
7561 NEWCASTLE DR T & F CONST
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