27703 7553 PEACH BLOSSOM �2A✓V eK "(
Building Permit Confirmed a
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date............................. Permit No....... --1.'...VJ
The undersigned herebyfm'kosyapplicifianwto the--,lumbi gol'ntpecfor of the City of San Jose
fora permit to install plumbin�firFurssj!Qd oripioes'litted�o"06 reverse side.
Exemption from requi ar menf A. Stafo of California for Contractor's License i hereby claimed
by undersigned: as owner y��• A, statement filed
FfCUndersigned attests that his State o �Ilfornie r^�nfracfor rcense -5/— .�63
is in full force and effect and properly.euth ori:es thi applicelion� V
San Jose City Business License # --V - U/�,-Z X s
I certify that in the performance of the work for which this permit is issued I shall not employ,
any parson in any manner so as to violate the workman's compensation laws of California.
OWNER
ADDRESS Lot No.
USE OF BUILDING ��%�/QLGr ���/i���✓ne
Sig' .
280-401n
7553 PEACH BLOSSOM ABLE EXTERMINATORS
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