14591 7647 Prospect V U®U (!;+7-C
V Building Permit Confirmed [}/
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date-------------------„ --1.7-.-------- 197-.. Permit No.-- I------------.'-------
The undersigned hereby makes application to the Plumkjing Inspa for of tho City of Sen Jose
for a permit to install plu i �x nd ipelfUsipd n�tR rse side.
Exemption from ragr-4fri yyr�Sf-!6F-" C.Tznjnjau4f }ret"for's License is hereby claimed
by undersigned: fds owner ❑ statement filed ❑
Undersigned attests that his State of California CCoontractor's License $�
is in full force and effect and properly authorizesf is p Ivwation.
San Jose City Business License # ��.�,�E//�/V
I certify }hat in the performance of the work for which this permit is issued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER �K/ niN v
ADDRESS —7 � ���'���
USE OF BUILDING � )' ,lam
280-30(9-73) Signed ........ r.`.Z'T.!Y------.�- -**-.7.---------.
7647, Prospect apache
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