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7413 STANrORD PLACE Building Permit Confirmed ❑
Not Required ❑
CITY OF SANJOSE BUILDING DEPARTMENT,
APPLLIIC TIOV FOR P.,LUMBIN�fGQ and/or GAS PIPING PERMIT
Date.../ .. ... ............................... 19//. Permit No....._ % .CL.............
The under,/ ed her makes application to thS Plumbing Inspector of the City of San Jose
for a permit i install u s /or a is the reverse side.
Exemption from r r o e al# r on+racfor's License is hereby claimed
by undersigned: as owner ❑ slafemenf file .','j
Undersigned attests ihaf his Stat a o4 Califo 'e ntrac a` �J _
is in full force and effect and properly a ori ap
San Jose City Business License #
❑ I certify that in the peri rmance of Iha work for which is permit is issued I all n employ
any person,
OWNER
Lot No.
ADDRESS
USE OF BUILDING
Signed..... ... _ ..... ..-..... _. ..----------------------
�y 290-401N
7413 STANDORD PLACE SER 9FT�
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