361601107 STEEPLE CHASE LANE
Building Permit Confirmed ❑
Not Required —[�f
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date ........... 2 7------- 19.7& Permit N------- .& --
The undo signed hby mekes a �E)
hg�lu In r of }ha City of San Jose
for a permit to install plumbing fi ur6Y�bs1 arse side.
Exemption from requirement (o fif.
for Contractor's License is hereby claimed
by undersigned: as owstatement filed ❑
Undersigned attests that his State of California Contr�ticensp #'a
is in full force and effect and properly authorixez 4his app
San Jose City Business License #
I certify that in the performance of the work for which this permit is issued I sh I not employ
any person in any ptenr��r so a�to violate �fh\e w�/ n's compensa}fop laws of California. e�
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OWNER
ADDRES!
USE OF
1107 STEEPLE CHASE LANE OWNER 280-401n
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