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39107 7961 _9U14n_ 'r_ R_ Lp_ M_ DRIVE E r\ _ ��J.�(,.PHONE: 277-4581 .. 1�1•(O '��ding Permit Confirmed ❑ Not Required '❑ CITY OF- SAN JOSE BUILDING DEPARTMENT APPLICATION FOR PLUMB IN G Gaand/or GAS PIPING ]PERMIT 1`L�• .0 Yermit No....,. ...f..(..,©./ . ' The undersigned hereby makes application to the Plumbing Inspector of tha*Cify of San Jose .• for a permit to install plumbif f' f / pe x/�ed n averse side. Exemption from requirerZ� a r o erector's License is hereby claimed by undersigned: as caner ❑ see}omen} filed�— Undersigned attests that his State of Califor Contracfor's License # is in full force and effect and properly authorize pplic San Jose City Business License #- _ �/ ❑ I certify that in the performance of the'work for whichr Phis permit is nrTecll shall not employ any person. �}• OWNER ADDRESS �i�/ ��2// l ' Lot No. USE OFBUILDING Signed ...r. . . �/�� 280-401N 7961 SUNDERLAND DRIVE' ACE PLBG. c °0piE -o n DC o 2 T O Cin o. o 0 0� � o To 0 0 = A A 3 A m ° ° ° ° o H �° T >• T o ns to m T _ �. o H A O N 1 N p �. — i ' 1 0 F o N "f1 2 N n O N N C N ~ n N O N ° m T NO ' N.. N m Z O Im �9 W9 �V W'9 '9 N C'1F1/� 3 T � Z F O � ' AA m+A r m m N C % D F -n- T ' � m y� c 1 D o" .^ mN T mm 3 m -n D_ T n 0 -n A m ° m mo Z mN m D A H ' n A '° m' v v A m D = A cI m