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Building Permit Co firm°d
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CITY OF SAN JOSE: BUILDING DEPARTMENT
APPLICATION "FOR•PLUMBING;!and%or, GAS PIPING-`PERMIT
Date .... 197?:"Permit
The undersigned hereby makes ap aj�w�tE 1hA P16,4 actor of } ify ( 5CX n
for a permit to instal um4igg at f and Ld pipes listed on the rev si'}h�ps1 `, / _ r
Gem tion r, 'o�I/\refA(n} $fa} of C ' orni n} cfor' Ran is hereby claimed
b under n V'. as owne f�,./r�,}a emenf filed ❑ ter. •�
y UndenignU_ettosts that his St. of aliforniaCon'raC*orsLicense k,#
�t
is in full force and. effect and properly.authorizes this a �tion. - T
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San Jose Cify Business License 1
❑ l�cerfify that in the performance of the work for which this permi} is issued I shall,'not employ
any parson..
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awe �0 a a%lBSo o l/ ,il
OWNER S0.
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USE OF BUILDING
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..F;. - Signed ...... . . ... .�. .. -
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