8457 908 Rose Blossom Dr
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GASPIPINGPERMIT
Date...... .�._C's.\..... ----------- 19-7V Permit No....... --l--�YL�---7--------------------
The undersigned herb ekes application to the Plumbing Inspector of the City of San Jose
for a permit to instal l pl bi i e ip reverse side.
Exemption from requir at r i f rector's License is hereby claimed
by undersigned: owner ❑ statement filed ❑ ,J
Undersigned attests that his State of Ca' ornia Contractor's License #
is in full force and effect and properly auth it y�R
San Jose City Business License # �)�
I certify that in the performance of {hework 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 O
ADDRESS gDc4 o5<21 SSO Lot No.
USE OF BUILDING
Signed
280 30 T
908 Rose Blossom Dr T&F
c pwo � i 1e >c o xTvvy, o 0 0 0 o�crTw :e �E
< 12 O 2 p 9 p y N N N 0 0 0 0 0
A
1 F A N O O O N S C ry O N N S p
A
N
Z
0
T
,I m
m
w9 W9 w9 w�
y S S 9 O C O O p O K H O p H p H p „
oo 'o 'o Z 3 < N A ; A m m A .� A
< < < < H - M � 3 c' r n
M
a � d � adv v I^ v A � xT Z
T O ° n > > m N C D 3
T 1'p T -I D
R .n C A O O T A o Z
I U O N m N N m ° >
m Ill N cC O_ N O A D
o N v m s z
N ci
.-Ip O
o T