36172 7483 STANFORD PLACE
F' Building'Permit Confirmed LJ/
Not Required (7�
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or
and/or GAS PI`�PING PERMIT
Date---- — . ...� ........ .... 19/2 Permit No............ J.�/ �-----..._.
Tha undersigned hereby me s applicatio o e P �mg for of the City of San Jose
for a permit to install plum r a e is o a reverse side.
Exemption from require or a ali o is or on cfor's License is her b claimed
by undersigned: es caner ❑ statement filed:
Undersigned attests that his State of California ontractor's License
is in full force and effect and properly authorizes c
San Jose City Business License # 1 �
I certify that in the performance of the work for whit this permit ris issued—1 Aall not employ
any person in any manner as to violate the rkmen's compensation laws of California.
OWNER
ADDRESS Lot No.
USE OF 44-
BUILDING \ ^
Signed ... r- ------------------ -------
----------------------
��� 280-401n
7483 STANFORD PUCE $ERVZ.SQk'T
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