25275 1099 90. STELLING
Building Permit Confirmed ❑
Not Required ❑
,CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date --------------------- I��Permit No.�...��� ��
-------------------------
The undersigned hereby makes application to the Plumbing Inspector of the City of San Jose
for a permit to install plumbing fixtur o I'hp �e e.
Exemption from requirement for on se is hereby claimed
by undersigned: as owner statement filed ❑
Undersigned attests that his State of California Contract s License
is in full force and effect and properly euth.rixas this
app is,�p �[''
Sen Jose City Business License # Lz 7'�/ _�/(��
I certify that in the performance of the work for which }his permit is '$sued I shall n t employ
any person in any m ner so as to violate the workmen's compensation laws of California.
OWNER
ADDRESS '
USE OF BUILDING / /
280-30(9-p31 Signe ._. ...�./�.���`�-�-"--
1099 SO. STELLING ACE `� `�
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