32569 7562 Normandy Way
5 Building Permit Confirmed ❑
Not Required 1:1CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
11 Permit No.--.-- Z��
Date:J-- 7'.L-�,n........ ........... 19. ll--.-._...
The undersigned here�b�yribm�akes application to the Plumbing Inspector of the City of San•Jose
fore permi} }o install sP /✓ �f' urea ipefi aid JnJ}�I','��-�+�verse side.
Exemption from regwrem�t� r�5} tem alio niacLon�iecfor's License is hereby claimed
by undersigned: s owner ❑ statement filed rT
Undersigned attosfs that his State���///ppp���...f J�c�±�lifornia Con fJ ny�q
is in full force and affect and prop Ylhori:es fhjs ,_ tm�
San Jose City Business License 1{{4////
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in an neer so as to violate the workmen's compensation laws of California.
OWNE (5�'I�7i6 nJ
ADDRESS 7 D Lot No.
USE OF BUILDING
Signed . - ... - ... - .
o 4oin
7562 Normandy Way Ace Plbg
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