8125 5987 wutton Park Place
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION /FOR PLUMBING and/or GAS PIPING PERMIT
Date----------- -`l` �.1... 7`f 19------- Permit No.............QFK Z-�..--------
The undersigned hereby makes application to the Plumbing Inspector of the City of San Jose
for a permit to install plumbing ' 1 /o t s 'ste n verse side.
Exemption from requiremen r or's License is hereby claimed
by undersigned: as ow er statement filed ❑
Undersigned attests that his State of California ntractor's License
is in full force and effect and properly authorizes th. ce do
San Jose City Business License
I certify that in tha performance of the work for which this permit is issued'I shall not employ
any person in any manner so as to violate the workkmmenn's compensation laws of California.
OWNER�cS�GGW /y J��`0� S
�/J
ADDRESS �1�7 �ccfita� /r40K Lot No.*2--
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USE OF BUILDING U k e-e �Uu,
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280 30
'......
9987 Sutton Parr. Place
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