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11302 7433 Rollingdell drive � Building Permit Confirmed ❑ Not Required ❑ CITY OF SAN JOSE BUILDING DEPARTMENT APPLICATION FOR PLUMBING and/or GAS PIPPING PERMIT Date--- ------------- --------- - -- ---- 19---- Permit No.----------f ©'------------ The undersigned her makes application to the Plumbing Inspector of the City of San Jose for a permit to instal pl ures nd.�QCr�pi es lift z averse side. Esempfion from �p % or ctor'z License is hereby claimed by undersigned: as owner ❑ statement filed ❑ Undersigned attests that his State of Californi�ontrac+or's License # 2 37 C."fL is in full force and effect and properly auihorixes Sen Jose City Business License # I certify that in the performance of the work for which this permit is issue t shall not employ any person in any manner so as to violate the workmen's compensation laws of California. OWNER P.9 cc t_ is x C, ADDRESS —7 `f 33 R61Le.ftiC—DcI--`- V2 Lot No. USE OF BUILDING 2 t 1 280-30 Signed -6&4.. i�!�J�"fa6.�. 7433 Rollingdell'I ace e o v f -4 :3E D C c x T v v N C o 0 o v 7; r T w f >; ` £ o_ o i v o � �. p TTN ^ O r A m � 1 � E - � � � m 'pv N o � � � C � ' o � � � '• � � P1 m x O T p O p p- 7 N �• T p 3 N N N N N p N V N = V h -Mn m O k „ v 1 R a c o o W D W D W D W D •0 N O y ; T N z N N 1 N 9 9 9 O C 0 0 0 O < N O O M O O R A77 ry o_ ? p• a p_ a o_ o m O q a ?• ,. m N C c D 3 o A o T o = m p D m M m p M 0 ci D ° m