32900 7491 TIPTOE LANE Building Permit Confirmed 0
Not Required M
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR�PLUMBING and/or GAS PIPING PERMIT
Date-------------------- - `L.L.l. ..... 19 Permit No.- d - ..... -
The undersigned hereby makes application to the Plumbing Inspector of the City of San Jose
(ore permit to install v¢fu1yg 'r r ragdfC.i off{ on the reverse
License
side.
Exemption from re v e o to Ca i o e r Contractor's Licenso is hereby claimed
by undersigned: as owner 0 statement filed
Undersigned attests that his State of a Cont
is in full force and effect and properly au a }his a ylf"tifbflo( ,c
San Jose City Business License ,# � /`''�5—
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any man,,7r so as to violate the workmen's compensation laws of California.
OWNER d
ADDRESS _���� 15�� - Lot No.
USE OF BUILDING
foin
Signed
2
7491 TIPTOE LANE ACE PLUMBING
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