37144 ,.� PHONE: 277-4581 -
7924 OCTOBER,DRIVE 1P--1ir/n/� o477of1E, Build`g'Permil Confirmed ❑
Not Required ❑
CITY OF SAN JOSE. 'BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date.t_.:...J(./..�> ....._/. ................ 1978. . Permif No._........3.Z_.1.r-1'-------- -
for a he"unde/}ogned heplu'fm6 ngk fi f� and o PIP Isted;non�.lhe c eVsid,rspaqtor of. City of Sari Josa
Erempfion from requirement for#Stale of California for Contractor's License is hereby claimed
by undersigned: as owner 0 statement filed ❑�//g p/ _C /
Undersigned attests•'that his State o{�Cali ornie Contractor's License # O f�
is.in full force and effect and properly e1?t`o 1-1iii Ihis pt 'on.
San Jose Cify Business License e#,�`107eri"f?n_?1��/
El .1 certify that in the performance of the work for which this.permit is issued I shall not employ ,
- any person, '
4
OWNER
ADDRESS Lot No.
USE OF BUILDING
Signed .......... ...- -- '- --
.
280-401N
7924 OCTOBER DRIVE GERARD PLUMB G
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