183937736 OBSIDIAN CT. ii9s c. o.#o�y
Building Permit Cionflrmad ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS ppPIPING PERMIT
Date ---- :-3 ---------------- ......... 197 Permit No..../ .. F
-------- ------------
Th. undersigned hereby Wkes application to the Plumbing Inspect of the City of San Jose
for a, permit to install plumbingffi ufs-and��pif%s list6d 7 ftA; �ne side.
Exemption from requirgmen� fo , tale of/� alifornia'�'forf+iCaMrac+on4 License is hereby claimed
by undersigned: a owner ❑ statement filed El
Undersigned attests that his State of Galifornia Contractor's License # �7�r37
is in full force and effect and properly eu+ ori:a4'Ihisapply��Ja_///
San'Jose:City Business License # t
I certify that in the performance of e work for which this permit is issued/I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
L/ l
OWNER
100
ADDRESS 773 6 OOS/OJt%n% (pueT Lot No. 9
USE OF BUILDING
28030 (9-73) Signed ...... (�elX.!iUi+Cp-�j+Q•s-JnC.------
7736 OBSIDIAN CT,
CENTRAL SERAVICE
SIN
E
-A
IE
DC
o
ST00v
::
n
3
A
G
d
Q
o
J
y
�!
S
O
p
N
-
O
O
N
R
N
J
m
S
J
N
9
N
O
O
O
O
O
W
O
�.
3
J
2
r
N
n
O
m
D
R
TT
J
T
uni
r
BERMOMa■■a■■■E
0
O_
N
p
w