26934 965 NOVEMBER DR
Building Permit Confirmed ❑
Not Required ❑
CITY OF .SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPIIING". PERMIT
Da+�/.�.----)/ -------------- IY..Z Permit No.c).—�`../z.51.------`---`----
The undersigned hereby maks?, pI' lioJJJyyy to 1 a Plum bi yyg999 In pa or of the Ci}y of San Jose:
for a permit to install plumbN txu, - e *, s a �h s License
side.
Exemption from requiremen f? a}e of alt m for �1 re ors License is hereby claimed
by undersigned:' as owner FF statement filed
Undersigned attests that his State of yel'`fo jg Contr tor's Li ansa
is in full force and effect and properly a j{hhhhhh ( s_this a }ifn.
San Jose'City Business License #'
I certifythat in the performance of a work for which This permit is issued I'shall not employ
any person in any manner so as to vio to the workmen's compensation laws of California.
OWNER
ADDRESS
USE OF BUILDING
280-30(9-73) Signed �� J� ---'- .......
965 NOVEMBER DR ACE /
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