32890 7567 NEW CASTLE DRIVE Building Permit Confirmed ❑
Not Required 3d /
CITY OF SAN JOSE BUILDING, DEPARTMENT
APPLICATION .FO PLUMBING and/or GAS PIPING PERMIT
Da+e---------------------
.rC . /�------------- 19.v Permit No....../ L� o
The undersigned hereby ke applicatio to the Plumbing Ins actor of the Cif' of San Jose
fore permit To install plu'� in r en i a7p'iif�d n reverse side.
Exemption from raquireln br�f,�%afe" of'L d"di_a710P fr ,for's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑,
Undersigned affests that his State of CaliffffffQQQQQQrnjj'��,,Contractor's License # �i / j
is in full force and effect and properly autho�fybs6fhis.0pi at�fi/ < ,
San Jose City Business License
I certify that in the performance of the work'for which this permit is issued I shall not employ
any person in any manna o as to viol to the workmen's compensation laws of California.
u. OWNER . Z,�-)
ADDRESS , 1, `— No.
USE OF BUILDING "
Signed
28o-401n
A,567 NEW CASTLE DRIVE ACE PLUMBING
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