32276 917 November Dr. Building Permit Confirmed ❑
Not-Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR
PLUMBING and/or GAS PIPING PERMIT
Da+e..............-&- .".... ... 19.WPermit 'No....._'�>;�..R74--------------------
The undersigned hgfeE rpli pplic ion,to the ml7ing Inspector of the City of San Jose
for a permit to ins}aB p mbfhq/�}esrej� pip �ea,/ n�} vversa side.
Exemption from ra wra♦ {or 54a f Sfif rola (o n t ctor's License'is hereby claimed -
by undersigned: as owner ❑ isstatamen! filed
Undersigned attests that his State of Ca(;fornia Contractor's Licen�se/#f'
is in full force and effect and properly autflbri s hppic iG`
San Jose City Business License # �
I certify that in the performance o4 the woA for which This permit is.issued I shall not employ
any person in any manner as 4o riolafe the workmen's compensation laws of California.
OWNER
ADDRESS Lo+ No.
USE OF BUILDING
9y
SignLei
Ace 280-401n
91,7 November, Dr. .
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