32230 U
463 Saratoga-Sunnyvale Rd . / Building Permit Confirmed ❑
/ Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date------------ �z - -- -- ._.... 19.7,... Permit No...... a. - ---...---
The undersigned hereby makes application to the Plumbing Inspector of the City of San Jose
for a permit to install pf tOlin oregg ist the reverse side.
Exemption from requi a lii ` r ontractor's License is hereby claimed
by undersigned: s owner ❑ statement filed ❑
Undersigned attests that his State of Califo[k�^,e Contractor's License # x/21/
is in full force and effect and properly author:.J$ fF apliicatjgn."Al
San Jose City Business License # (( f�///7
I certify that in the performance of the work for which}h si permit is issured I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER Gf/OO�u 0�27� �SkJ LG B�ildPr: C��(✓`Q7S7�u�.
ADDRES �O/ Cc7FD/A ✓N�y/(� l` �d Lot No. ti
USE OF BUILDING
Signed-------------- ..... . ...2..a..�./..............................�..
_ 280�401n
1463 Saratoga-Sunnyvale Rd. Indust. Gard. Main.
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