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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 `� `� D C o = T p 0v� o D o c p7cr T W. ::E f jp J •p N N T m m W D W 9 W 9 W 9 T N C) ZE f/1 3 •p y S ry � O O Q O H O O H O O n. dA i � n. G1 � v v+ p pm J ST D x D � U ^ T R T T N T mm D z• -. .Zl r O A T rt O T o' o m A o Z J N T N N m m C o vii o D o n T v m z A N CZl