15091 1390 Primrose
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPL/ICA /ION FOR PLUMBING and/or GAS PIPING PERMIT
Dafe -- ---------------------
19� ermif No.--1, �.��1--------------------.
The u darsigned hereby nukes applicalio,L�, 4o iho P unJbj�g Inspector of the City of San Jose
for a permit to install plur�bin f- u es a ! p �8�rf1<triS✓"�everse side.
Exemption from reguirem fo S{ata of Cab rma for Coo rac}ors License is hereby claimed
by undersigned: s owner ❑ ` statement filed ❑
Undersigned attests that his State of Califo�ia,#C61frraactor,:O, I a0se�y��•/
is in full force and effect and properly authorixes•thi a'ppllicaf�rrp!
San Jose City Business License $p '��— — ��$
I certifythat in ,�y7►QQrr�or a a of y�f�Jpr fh' permit is issued I shall not employ
any person in any rwT>fr Fo a V �'ie1 wbr'�r 'c �.o pansation laws of California.
OWNER
� ,,,,,,,,��aa P�yH,PGSF_
ADDRESS ' �Lof No.
USE OF BUILDING
280-30(9-73) 1 Signed . . .. ..... .. .. . ...... - - --- -------- -------
1390 Primros4&7? elnr ` `Ramaryer
Wpm N -{ � DC N2T O GN � � � � O 7Cr N W 0 o a
0 0
OD C
N
Z
O
T
m
m
W D W D W D W D -uN 0 :E � T �! Z :e
a a a v
9 9 9 O C 0 0 0 0 N O O N O N O N
K A m A A A
< <
d d
A 1 y G1 1 ~ v N O C N O S T Z
m T o 0 0
Vy N O m T � m N. Hc 1 D ;
O r A N T - N T m A m 3 D
O O ,! T 2 O T o A ry GO m A c z
V N T N N m m D n n
�.. m m 0 2. <
T _ m
A i N N i