3626 7930october q
Building Permit Confirmed 0
Not Required
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
19
The undorsig ned her kFn.ner
a}'en +� the PI m 'n nspactor of }he City of San Jose
for a permit {o ins}all pl�r �rys nd/ryo��pip� Id'b�y1�e reverse side.
Exemption from raq'Lira ta+e at Calitorma foT�ontra for'. License is hereby claimed
by undersigned ❑ is amen} filed—z—
Undersigned attests that his State of elifornie Contractor's License
is in full force and effect and properly a P}his O-V
San Jose City Business License # ��y sP-S1 �s%
I certify that in the performance of ha work for which it isa�d I shell not employ
any person in eny/manner�o as 4o Ie 4e the workmen's compensation laws of California.
OWNER
ADDRESS �® OCA Y Lot No.
USE OF BUILDING
zeo-lo Signed --- -- - ------ 7--- ...... .............
79300ctober Whitmer
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