5726 756.1 New Castle (n{
V\ Building Permit Confirmed
1 Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
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Date---------7- l- -- - --------------------- I�7- Permit No.- --- --- -- - --- -- ------------
The undersigned here a Ii
on th PIu 'ng Inspector of the City of San Jose
for a permit to install d/ on the reverse side.
Exemption from req uamen for State of a ifornia or Coniracfor's License is hereby claimed
by undersigned: as owner ❑ l statement filed
Undersigned attests that his State of Cali��C;ontrac l�lfefss
is in full force and effect and properly u hor' (r(app f �/(/
San Jose City Business License # `F- d U
I certify that in }he.performance of the work for which this permit is issued I shall not employ
any person in any manner so as to`violate tt�he,workmen's compensation laws of California.
OWNER
ADDRESS ZS- z e� C�f/ Lot No.
USE OF BUILDING
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t80 30 Signed
7561 New Castle
moi' CCs Bi12.'s Plumbing
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