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22034 7525 TIP TOE LANE Building Permit Confirmed ❑ Not Required ❑ CITY OF SAN JOSE BUILDING DEPARTMENT APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT Date JV ---------------------- I4 Permit No.---------a' --.Q J - ---------- The undersigned hereby makes ap 'ca}ion #o }he PI mbi Inspector of City of Sen Jose for a permit to install plumbing fixt es s n e r d Exemption from requirement fo S ali rme or C str c or nse is h a r a b y cIaimod by undersigned: as owner statement filed Undersigned attests that his State of California Conirac+ License # is in full force and effect and properly au#horkes Jhi�plic io San Jose City Business License # Q, I certify that in the performance of the work for which this permit is issued 1 shell not employ any person in any manner so as to violate the workmen's compensation laws of California. OWNER ADDRESS ��� �/ �(L� / Lot No. USE OF BUILDING (' Y I — 280-30(9-13) Signed- '- .- ..!/C -- --------------- 7525 TIP TOE LANE / DW F F n' 0_v o 0 m _T T N ^ < IE 0 T m n Oo C o N o- m )C j T O D N N V1 N N N m 1 N y !1 i N N C N m O m 1D C D < O O N m T 0 l N N N A N Z T m m Wa ao9 W9 Oo9 Tin 0FNrT t!' Z Fv� 1v� 1fn 0 m „ 0 o o 'o o Z 9 < m' 3 - ' '^ 0 0 m D m m T cr d 1 � a m 'D -� ~ a No O m ST O m �0 �' 0 a F N N c' 3 � A A m 0 0 N T n mm � m -n � "D� -n � D m m O T 0 m 0 m m 0 Z �n m N N m D pv m =. < M m H c T 0 o' er . D