272697626 NEWCASTLE
CITY OF SAN JOSE
1
Building Permit Confirmed ❑ -
Not Required ❑
BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date ------...-. ;;�.. /-................... .... 1977Permi# No.) --V-41 --------------------------
The undersi ned er makes a p cafi {o +' lambing yspac{or of +ha City of San Jose
for a permit to ins+a risit pO//{ia s �^f$��j°r i as i's o t e reverse side.
9 • �•{��0e R 6.f 4
Exemp+ion from qu ri er eq for SFA - of - orni or o rector's License is here y claimed
by undersigned: !/ as owner ❑ s+afement filed ❑
Undersigned attes+s that his Stateof California Contra +or's Licens
is in full force and effect and properly �uth , , }his a :,gM,.
r
San Joie City Business License #
I certify }he+ in the performance of the work for which this permit is issueg I shall not employ'
any person in any manner as to viola}e the workmen's compensation laws of California.
OWNER
ADDRESS
USE OF BUILDING
7626 NEWCASTLE' ACE c:gL/a—b
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