17722 7708 OROGRANDE PLACE
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Da#e--`----11
�+---'
---------------- ----'---- 19..74.. Permi# No.-------Z.7.�..Q�... ...............
The undersigned h riibygqmakes applica ion fo he Plumb'9 gonspector of the City of San Jose
for a permit to install pf�jpoingg fixtufes a.d/o pip'Os�n�tasVon Poe reverse side.
Exemption fromfrequiremertt8 o at o California fr�r'C�rec}or's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑ /,,7/���
Undersigned attests that his State of Calif8,nia Contractor's License #
is in full force and effect and properly aufhori:ar� h'k applica ion. A
San Jose City Business License #' 410'6ESOI ////a/.�
I certify that in the performance of the 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.
OWNERt
ADDRESS 77 O e2+ �L Lot No. /
USE OF BUILDING
280-30(9-73) Signed ....---n"dwf 50win n.,9AC.
---------------------------
.
7708OROGRANDE
PLACE CENTRAL SERVICE
+ e W Dfn 1 E D C �n S -n a s �n.� E: f E a A r In W
' E E;
o E o o p m 0 0 0 0 -. o T o 0 0
nJ d, O Ip J y O y J N N N A < O 1 mFE - 3 � m OJ dyOJ lrm SS O :E
" O N J 1 p f 2 u c n S T
D < m m N J T
J m
� Q13 � o
N
m
WD W D WD W D stn OIE r -n
9 S 9 O C N O p O %
3
4k 'o 3
< 2 J m m m m rZ7 m oo Z 3 m c r
-
m
O N D
-n 'n ma ; mm ; -4m ; Z
m m m m C, T O A m o m m o
ja