246737443 STANFORD PL
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUM NG and/or GAS PIPING PERMIT
��/+ Y/ .7-3--------------------
Date....-.1.Q.— 1 �j. Pe
The undersigned hereby m as application fo the Plumbing Inspec}or of the City of Sen Jose
for a permit to install plumbing fixtures and/or s sted o� theree ersp
Exemption from requirement for State of C is r�[o,Tn.L}/Js�ir en feraby claimed
by undersigned: as owner ❑ st em �Je
Undersigned attests that his State of California Contractor's License #
is in full force and effect and properly author—i�:as Phis a i lisp. -nom
San Jose City Business License #J-1—
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 jas to violate the workmen's compensation laws of California.
OWNER \—Et1leyre
ADDRESS yU 3 `J i Gr��O rC� �, • Lot No.
0
USE OF BUILDING CeR> C,r sc el n
280-30 (9-73) Signed .........wv—(LQ L_-.....i1'.-�..5�..--.
Oce .
7443 STANFORD PL ACE
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