20386 139'2)STELLING RD ^y /
/ Building Permit Confirmed [4"
((( Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION, FOR PLUMBING and/or GAS PIPING PgRMIT
Date- ---'------ ------------- 19.7& �Pernnit No�...o....:3.---- --- ...--.-
The undersigned hereb makes application to thaw Plumbing Inspector of the City of San Jose
for a permit to install t p� a lifer the reverse side.
Exemption from ra r OR al rn on+rac+or's License is hereby claimed
by undersigned: as owner ❑ statement filed
Undersigned attests that his State of Califor recto Q
is in full force and effect and properly a'ufhoyix �P�o -
San Jose City Business'License # Lam/
I certify that in the performance of t1he work for which this permit is issued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER / Z F �hC
ge
ADDRESS ��'` F / cl Lot No. /
� s
USE•OF BUILDING -e_ _s-
280-30
280-30(9-73) g �7i 'Q t/� LLr/Jl /Ny
Si ned --yam ...... .
139? STELLING RD CAPELL
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