164817720 Oakmeadow _
�udding Permit Confirmed—
Not Required 0
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION C� R PLUMBING and/or GAS PIPING PERMIT
Date ---------.....----.h. .. ................... 19�� Permit No ...({.'. 1...--...--------
The undersigned a Ilb makerSZt lio to the Plumbing ,nspac3or o the City of San Jose
fora permit to install p �nd o� pi lis}p'd eers side.
Exemption from r un ffi hi rq�ry'e//t�oyE t s icense is hereby claimed
by undersigned: a0 sta}amen filry
Undersigned attests that his 'State of Calif sma Contractor's License # O 3 p
is in full force and effect and properly autho�riz s is application
San Jose City Business License #
I certify that in the performance of ire r4'fyr w ic� h' p r i � s a s all not employ
any person in any manner so as to lets 1lr mens oot�ipens i �Irovs�ofsGelifornia.
OWNER �ov S'e„`- nn
ADDRESS -77 04 Lt. ettIXOW O . Lot No. I
USE OF BUILDING r /�
w�
Signed ...... :C• --------------------
280-30 eTtl<.
(9-73) .t`-tic-.------ - ---.... -
� 1
7?20 Oakmeadow lifetime
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