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23943 1655 SARATOOA/SUNNYVALE RD Building Permit Confirme4-0�— T Not Required ❑ CITY OF SAN JOSE PC BUILDING DEPARTMENT APPLICATION FOR PLUMBING// and/or GAS PIPING PERMIT Date-------------9-------_1-7................. 19.1-6 Permit No..�.3?. ----.------------- The and rsigned hereby makes application to the Plumbing Inspector of the City of San Jose for a perm if to install plumbing fixtures and/or pipes listed on the reverse side. Exemption from requireme for State f alifornia for Contra s License is hereby claimed by undersigned: �w r a filed Sat Undersigned aftes}s fh i o or ' on ract s ansa is in full force and effect and pro rly authorizes this application. San Jose City Business License # —/q I certify that in the performance of the wor 'chi ' i of employ any parson in any manner so as to violate th,e/ r n'z c e s orma. OWNER�K M A1A✓1,40?A /� ADDRESS & Lot No. USE OF BUILDING 280.30(9-73) I Signed .. .. ----------- . ._---... 1655 SARATOGA/SUNNYVALE 10 DC O S Tp 0No c c c G � o �' o0 0 o n.ao F � Fn TTN ^ o ° TA2 pEEo tl vp IJ ` F r �D UYMPO S �L A Y a l N� N ,l LA 4 N O i l 7 W D m 9D m a T H in CCl- 01 AE m GSm a Ta Z N T N N T m p vni m : A m p mmNc . p nF z z > Z ` 1 m