17723 7770 OROGRANDE, PLACE
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date------'�O.'/-7------_-------------- .-- 197" Permi# No.-/17;-3-------------------
The undersigned herby g.keypplicatiop fo the Plumbing,lnspecfor of fhe City of San Jose
fore permit +o insfa11'1 plum m fn+uresndYor pTpo listed od the reverse side.
Exemption from �qutra n} for face uf•C: forniffor CoA(rector's License is hereby claimed
by undersigned: 7 as owner ❑ statement filed ❑ r
Undersigned attests that his State of Califorpia Contractor's License #' 7
is in full force and effect and properly ,a uuthhorims hif-e plicati n/.A//A
San Jose City Business License #'_Srs"fANEy W% "�kz 5z
I certify that in the performance of the work for which this permit is I
issued izsuad `$hall not employ
any person in any mennel so as to violafe the workmen's compensation laws of California.
OWNER I(,6-0AdLl1Oa0✓ ��C�+�—✓
ADDRESS 7770 OL• Lot No. Z
USE OF BUILDING
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280-30(9-73) � � Signed _.. -...--- --.....------'—'--.......-.. ............................
7770 OROGRANDE PLACE CENTRAL SERVICE '
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