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205697736 OBSIDIAN CT 5��N\\rq . Building Permit Confirmed ❑ Not Required CITY OF SAN JOSE BUILDING DEPA�yETW7- APPLICATION FOR PLUMBING and/or GAS PIPING /PERMIT Date -------- f•�....--- --.r. --------------- 19.76 Permit No. o- ---.?.1'S.....V._ ....--'- The unde,si ned re6 �Jy k a e bin Ins f the Cif of San Jose for a permit } gins},Cpl`xupr4jp�u es n o I' giNYr rse sid o. y. Exemption from requireme for Stale of California for Contrac ors License is hereby claimed by undersigned: es owns < statement filed ❑ Undersigned attests that his State o Califor Cgniractor's License # is in full force and effect and properly authorixaS 'r plicefiBr �� Sen Jose City Business License # aall _ I certify that in the performance of the work for which this permit is issued I shall not employ any person in tiny manner so as to violate the o�" rkmen's compensation laws of California. OWNER lTf1 U• A' /-5v 6 /GA �/ • �C�US 7-e /2.S ADDRESS %3 �01bSO"El"" CT Lo{ No. USE OF BUILDING • 7i214"A2"Iff X511-"5" A41 • 2ve-s 280-30 (9-73) Signed .....�? "' ----- '....�'-` -- --�--- 7736 OBSIDIAN CT OWNER _ T T H = m v Q Hf :E C µ N =• a 90. O=~ �y O H p H p H p N T N A O O N c r " R 1E N N � OT ti p O R N N ? N m' �^T o. c• � T O X �y O p H p H p N T a -mn r " O E f H �^T m 2 x p m T i "a'� T m �^1 0To Ap p m p3% N '. p p to O fn p '� '• O '. 7 p p p m 7 1 n N Z Z T