17855 5951 SUTTON PARK PL
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE 9 BUILDING DEPARTMENT
APPLICATION FOR—nyipp;WE ANICAL gPEER14T
Date....... ................._�.- ... 19./O.. Permit No./ !/..✓.. ............_..
The undersigned hereb makes application to the Plumbing Inspector of the City of San Jose
for a permit to install e a c Ilino h v rse side.
Exemption from re it or }a 4C:dl o VContracf.r's License is hereby claimed
by undersigned: as owner ❑ statement filed ED
Undersigned attests that his State o{'G, I*forni6 Com+ toij e9ns �F
is in full force and effect and properly[ razes fpp'is7
San Jose City Business License # �O — �,/ ✓y
66
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any manner so as to violate the workman's compensation laws of California.
OWNER�L��K�1J�L�
ADDRESS 595 ( 5UTTOO PAj2k pWC Lot No.
USE OF BUILDING RESIIOG00-E
I5951Signed----I...... ---------
SUTTON PARK PL VALLEY HTG
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