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
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