169771126 YORKSHIRE DRIVE, CUPER0
Building Permit Confirmed 0
Not Required L�
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING
PING PERMIT
D a f e .P!..la.. ---- 4L2----------------------- 19i�ermit No.../- 119�7----
---- -----------
The un grad herebygrookes apo licaf�ion to the Plumbing Inspector of the City of San Jose
for
a
pe
rmif to �nste l plurdb i, t es br'�i S'Rife�d reverse side.
Exemption from rega�e n of {or t51 gi Cali Ernie SSrsCgnhac}or's License is hereby claimed
by undersigned: a owner 6 statement filed
Undersigned attests that his }a}e of California Con f ctorrs License
is in full force and effect and properly authorizesthis � alion�
San Jose City Business License
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any m/a/nner so as to violate the workmen's compensation laws of California.
OWNER�� )9
ADDRESS )_r_�2
USE OF BUILDING
280-30 (9-73) Signed
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