17725IN
7736 OBSIDIAN
CITY OF SAN JOSE
.Building Permit Confirmed ❑
Not Required ❑
BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date---------- .......................... 197.j�--Permit No. ------ 177 :S ...........
The undersigned he eb fmakes I' f, to the. lumbing, Inspector of the City of San Jose
for a permit to insta plurs60 li'tf r$�`��a d rpipras iis/ a onW r"erse side.
Exemption from requi�em//o/an rr S a of'CaliforntaQ%rr+6onJrector's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑ !,7/
Undersigned attests that his State of California Contractor's License #
is in full force and affect and properly Z thor' s thioep ve iiii
San Jose City Business License # 5 6
I certify that in the performance of } e work for which this permit is issued I shall not employ
any person in any manner as to violate the workmen's compensation laws of California.
OWNER B �*-
ADDRESS !7 3
USE OF BUILDING_
280-30 (9-73)
7736 OBSIDIAN CT.
NO]
Lot No.
Signed. """` ". RhlIUJP ltD.� YKC..----
CENTRAL SERVICE
0
w
y
N
G1�H;
T
V!Z
S
O
C
O
N
O
0
0
-•
X
H O
T
cPmt
0
A1T�+D
N
fl
R
N
Y'
�
G•
~ 1
w
y
N
G1�H;
T
V!Z
S
O
C
O
N
O
0
0
-•
X
H O
T
cPmt
0
A1T�+D
AIOI TIO IO. NIN 2. 0