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17640 1143 STAFFORD DR. 4 O-Z/nBuilding Permit Confirmed Not Required ❑ CITY OF SAN JOSE BUILDING DEPARTMENT APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT Dafe---f0....----Z4.........r-_------------ 19.`7 ermif No.---------17 --q®-............... the Plumbing he for ahpa mit undersigned install pPCM nak fi�ication d/or�op'i��s ,l,lsy d—n Inspector ereverrsef side.City of San Jose Exemption from requirement for Stele of•CaliforRie'wfor•Coniracfar's License is hereby claimed by undersigned: �as owner ❑ statement fila Undersigned attests that,his State of California Contractor's License is in full force and effect and properly autc`rrlses't is+ Iic hDn.y San Jose City Business License #' Y'ip�' ©���' PSs 6 be I certify that in the performance of the work for which this permit is issued I shall not employ any person in any�manner so astoviolate the workmen's com nsation laws of alifornia. OWNER�cz P! �a/ //✓G —/1( ADDRESS of No. If — USE OF BUILDING 280-3019-731' I / Sign �~.--- ------------------....------ `---5/ 1143 STAFFORD DR. /Oo 3 ' � °W0 � E io DC o 2T0 G (no 0 0 0 07co T W f f L,. •�. o _ y � � r QN � o Oma. ° N io• 1 � E � c p � n = T C y O C w N Q T m m W D W D W D W D N W : N ; T N Z f N 1 N N � 9 9 Cq m To m Q f H s o T O D T rt T T N T m m m 1 D � s J — @ -. •� r n n m N m A ` G1To Am c m A o Z T A T m D Z