9889 �}—Squirehill
Building Permit Confirmed gi}
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING
PERMIT
Dafe .......................
.............----- hermit No.-----------.(ISS --------.__----------
Th� undersigned hereby foe�,!�.n. o
kes aThe Plumb' nspec}or of the City of San Jose
for a permit #o ins}all luyhia o The reverse side.
Exemption from requi e if . or on}rac}or's License is/hereby claimed�
by undersigned: I
amen} #
Undersigned attests that his State California C nfr tois' License
is in full force and effect and properly ui �t
San Jose City,Business License #7I certify that in the performance of the work for which this permi} is issued I shell net employ
any person nner so as fo viola a the workmen's c nsa}ion laws o Cali(orn ie. /
OWNER L 11'^T� 1"1 uirelii /
ADDRESS / } �� — +
USE OF BUILDING
zw-ao / Signer 1- ------ --
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