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23781 1129 ROLLINGDELL CT Building Permit Confirme&—E� Not Required ❑ CITY OF SAN JOSE BUILDING DEPARTMENT APPLICATION FOR PLUMBING and/or GAS PIPING �PPEERMIT Dat e - .9/....1 ............ 197e.. Permit No. © ---- - The undersigned here a es c fq/+�Alumbi nspec}or of the City of San Jose for a permit to ins}all u (�js'iy6sfthe reverse side. Exemption from req for Stale of Cali or for Contractors License is hereby claimed by undersigned: as owner ❑ statement filed ❑ Undersigned attests that his State of Californ' rat?,fn o is in full Force and affect and properly euihorixes is pylic i n. San Jose City Business License I certify that 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 T l 5— - ca ADDRESS s Lot No.aP USE OF BUILDING — - A & VALLEY PLUMBING 280-30(9-73) I Signed------------------------------------------------------------------- P. 0. BOX 524 — SANTA CLARA, CALIF. 1129 ROLLINGDELL CIT A F ,f vel I FY c w a 7 E 10 DC a xT OOv� o o e c v7crT Go ::E IE o ° n.o 0 0 A TTN G ° a _ o y m r A C O T 0 o m c T 0 O N -, n N o a 0 N N N m A J V N N 1 O co D W 9 W 9 W N O O N r O < < A ° T aA10v dOm :nx � Z � O �' N ° T N O y E V N 1 m 'm vCi c 3 _9p D T m T m N m mmm m 1 D f T o A ry o m N o Z NT N N m m O N m �. m A 'A m A 0 0 A T H D_ F I I O �,1 Q.. L r (� i 7 d C E an d