323491M2 Yorkshire Dr.
CITY OF SAN JOSE
i Building Permit Confirmed ❑
Not Required ❑
BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date _....../a..—/ _-------------- IP .. Permit No. _�'.3 7-------------------
The undersigned her��66ymekes applicaijon to the Plumbing Inspector of the City of San Jose
for a permit to instal�(lu�bin� /(ik r��a1[andp� s liifec�on the reverse side.
Exemption from te`gwwteii'sEi{YfaiiSTe'fa a Cal( om.a.for Contractor's License is hereby claimed
by undersigned: ` as owner ❑ statement filed
Undersigned attests that his Sfafayof California Contractor's License
is in full force and effect and proper yy uttfioorri-:es t is p i at'o�s �s
San Jose City Business License
I certify that in the performance of the ork for which this permit .is issued I shall not employ.
any person in any moor so as to violate the workmen's compansafion laws of California.
OWNER_(,
ADDRESS Z 2
USE OF BUILDING
Signed
1122 Yorkshire Dr.
Lot .No.
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