36038 7690 PEACH BLOSSOM ANn �, ,u
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
03
Date..... .... . _ . .... . . . ---- 197. Permit No..... '.. .�........-..�.....Y.�_
The un rsigned h reb kxgs�ap IiealAdytowthe P,lum6jng�nspecrro} the City of Sen Jose
for a permit to install plumbi �f xt rp isle' qn�ihe'r�r4'e side.
Exemption from requirement fo State of California for Contractor's License is hereby claimed
by undersigned: as owner ❑ k T stafemenf file
Undersigned attests that his State of CaliforniafEo�rac}ox's Li ns
is in full force and effect and properly authorizes,}h(splicafio
San Jose City Business License #-
I
I certify that in the performance of the work for which 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 VOLL hiz
I-lig 0
ADDRESS c Lot No.
USE OF BUILDINGP� —
Signed. 4....�_
2\80-4oin
7690 PEACH BLOSSOM ACE
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