13007 906 Sage ct.
Building Permit Confirmed ❑
Not Required 1-1>/
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Da#e------------------------- - ----- 19.7 ... Permit No..........-1-3467
.. --...---'----
The undersigned hereby /� 9 s or of iha City of San Jose
for n permit to install plum n to o } verse side.
Exemption from requirement for tate of eifornia for o r or's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑ 7 3 7 C 36
Undersigned attests that his State of California Conlractors License #
is in full force and effectBusiness
and properly au{horixes this / V .u,�js �y r// ��
San Jose City Business License # /(� f/y����/Ob�
I certify that in the performance of the work for which this permit is issued I shfill not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNERF(S'H
ADDRESS �`�t� 5-AC—G= CT Lot No.
USE OF BUILDING f5
280-30(9-73) --
Signed
l .
906 Sage ct ace
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