30708943 SEpTEMBR COURT f� t
l wilding Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE xaaex,-� BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GA�-Sf ffP��IPING PER T
Date ---------- - ---... .............. 19.�Permit No..t.,,l.-v-.../... ----
A
The undersigned hereby mek application to the Plumbing Inspector of the City of Sen Jose
for a permit to install plumbin fi s d'yf fj§ir�FJarse side.
Exemption from requireme r to o r or's License is hereby claimed
by undersigned: as ner ❑ stateman filed
Undersigned attests that his State of California Cont Lic
is in full force and effect and properly authorize,: t �s a ic�-7
San Jose City Business License # % /,��
I certify that in the performance of thew 4 for which this permit is issued I shall not employ
any person in e, j-�nanner ye as to violate the workmen's compensation laws of California.
943 SEPTEMBER COURT a /6-0
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