19928 7708 OROGRANDE PL // _
6-eln'~���
Building Permit Confirmad.a—�
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS�jPIPIING PERMIT
Dafel2.!...3.}.7.�o..--------------------------. 19-------- Permit No....l�?-L.....:......��.....---------
The undersigned herebnxkx application to the Plumbing Inspector of the City of San Jose
for a permit to install plsim bin fid'ur a r�pipi IlitJ,�o'p�1ro. side.
N�I aP/(2�
Exemption from req�iremen}/far Sfa aio Californ a for oritra etor'z License is hereby claimed'
by undersigned: as owner statement filed ❑
Undersigned attests that his State of California Contractor's License # jN (os
is in full force and effect and properly authorizes thisfapplicelion.
San Jose City Business License #-44 6'- 2 6AZ21!!
I 'certify that in the performance of the work for hick this permit is issued—1 shell not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER kirk 4 fZQ RR ,SS - M
770$ _
ADDRESS o Lot No.
USE OF BUILDING
,n n. rbr TI
280-30(9.73) Signed- -- --
.-------- --"---- -. ..... ................ ----.......
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770.8 OROGRANDE PL HAWAIIAN POOLS
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