29546 1"157 SCOTLAND DR 011
�- Building Permit Confirmed
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS
�jPIPING
PERMIT
Date-----------...._----------(1/a'...... 19..T1Permit No.----- ..............
The undersigned hereby makes a plication to the Plumbing Inspeclo of the City of San Jose
for a permit to install plumbing r r p s aR ha se side.
Etemp}ion from requirement n r n} c s License is hereby claimed
by undersigned: as owne ❑ statement filed ❑
Undersigned attests that his State of.Californie Cont actor's License #
is in Full force and effect end properly authorizes this ap n.
Sen Jose Ci! Business License Ll-/] DI 571
1 certify that in the performance of the work for which this permit is issued t-shAI not employ
any person in any manner so as to violate the workman's compensation laws of California.
OWNER P tl F r/i
ADDRESS Z/15 7 S CU FZ'1- ✓41 ))11k Lot No.
USE OF BUILDING 5�v, LIP T, 0�
Signed ...........U�.�.Lfr.
28o-4oin
1157 SCOTLAND DR ROYAL POOLS
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