16574562,5 Newcastle DRive
Building Permit Confirmed [�
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date../.-:'fLC.------ _1r._---.------- 19-7�ermi# -/........
The undersigned hereby ekes ap lic }ion to A Plumbing Inspector of the City of San Jose
fore permit to install lu m f r 8 or' et�Q1ist o the reverse side.
Exemption from requirl�ie'Mooniredor's License is hereby claimed
by undersigned: a owner ;E}— statement filed ❑
Undersigned attests that his State of C.1ifRrnia
Contractor's License #
is in full force and effect and properly authores is appliggt3n��k /�y�
San Jose City Business License #' / iL�7a! oy
• I certify that in the performance of the work for which }his permit is issued If shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER ]�I/n/2C7,LZ l
ADDRESS -7l� /Vt!/�'f"���� �7� Lot No.
Z
USE OF
280-30•(9-73)
7625 Newcastle Drive owner;
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