10140 ?648 New Castle Dr. y
Building Permit Confirmed ❑
Not Required --Q-
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date..--------------------- -- "r'/ ---- 197 . Permit No.---./P/l----------------...........
Th. undersigned he�by brpalies�g �rr�10 JP.�PI _gg'th, reverse
of theside.City of San Jose
for a permit to install lu n it u an or es li ed o /the roverse lido.
1�///•�flt
Exemption from requirpmenl ftlr Sle a of Cel i{ori for on}rector's License is hereby claimed
by undersigned: is owner ❑ statement filed 0z
Undersigned at}efts that his State of California }rpetor's ,iconso
is in full force and effect and properly authorizes }his a mafion 'r—J,,�
San Jose City Business License # ./
I certify that in tha performance of the work for which this permit is issued I sh II not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER VA L-c o /11
ADDRESS 76 y 8 .L'E41CASTLC ,(7/Z Lot No.
USE OF BUILDING 2 C
28030 Signed ...el-05..
ten.
7648 New Cast]:e Dr. Ac
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