16396 `i4'ii �tanfora dace p�N./y���-°�
Building Permit Confirmed
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPI(NNG�p PERMIT
Date------ -- S------------- 19/pp. Permit No.r - `-/------------------------
The undersigned hereby makes application to the Plum bin Inspector of theCityof San Jose
for a permit to install plumb' 'x r / ipfr�{{s d e reverse side.
Exemption from,require en� rm f trac}or's License is hereby claimed
by undersigned: as caner ❑ statement filed ❑ {
Undersigned attests that his State of California Contractor's License #C`'f-5 - �799� /
is in full force and effect and properly authhorizes th lice}ion.
San Jose
City Business License # K—/i � (/
I certify that in the performance of the work for w ich this permit is issued I sh not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER
4
Lot No. 14
ADDRESS
USE OF BUILDING
I` I
280-30(9-73) Sign V&,4 K/J�
r ----------""
7471 Stanford Place V-l ' s Custom Bult Pools
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