9719 7622 Rainbow Dr.
Building Permit Confirmed
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date..�d -----e.._.......alf----------. 19�y Permit No.---------/?71-1q......................
Tha undersigned hereb a es ep a ' t the 4i a for of the City of San Jose
fora permit to install p mbmg a li verse side.
Exemption from req ' tate a i n, for Contractor's License is hereby claimed
by undersigned: s owner ❑ statement filed
Undersigned attests that his State of C . ornia Contractor's License
is in full force and affect and properly authsap lic n.�l/J/
San Jose City Business License $R' % ,
1 certify that in the performance of the work for which this permit is issu I shall not employ
any person in any manner so as.to violate the workmen's compensation laws of California.
OWNER VMQrndIM V U ••( BQ
ADDRESS / Oa CJ 1 Lot No. 117/
USE OF BUILDING
280 30 us..y WUE-r-C. �l�W1H�WV✓
7Fi?? Rainbow 7}r \�J Va18 Custom POO18
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