14358 1181 Yorkshire 9 Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
�a//,3�...----------------------------
Date 197 Permit No. . .. �5 .--
-f - -
The undersigned hereby makes application to the Plumbing Inspector of the City of San Jose
for a permit to install plumbing i f-rr�esseand/oripipes li fad�on•the, eve
r ,se side.
Exemption from raquirem�b �-�ral � omEo%E�irfre%r's License is hereby claimed
by undersigned: as towner ❑ stafemont filed E] $„7,3C� nJ
Undersigned attests that his State of California Contractor's License #
is in full force and affect.and properly authorizes �ghis�,a�pyplieetion.
San Jose City Business License # 4/5/_ / /��r+'/� ��
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER
ADDRESS //8/ y°K CN/2E Lot No.
USE OF BUILDING
280-30(9-13) Signed....... caL.. _-----------
,e/gTO /fit-(IMA, 6 5-7-//11/
1181 Yorkshire Xcfjo Plbg. /-/&/
c n 0To_ - o-iC2pm _0. ONFF FF07crNw FWoF
o p o o -• p T p p o
o
(D N �. N (1 A'• y
ID N T T
� O C A N V1
N
Z
0
T
m
m
F N � � N .� t/�
i i ,� T
O p p m p N 'p °. T N O y F . Z
C a F
m T H T m ;. m T 3 T D
T o n m M m rt G1 71 ° A o T o o z
H T N m a
VI m ^� `^ o ff o c A
- 1 - A - D
I;q
�, = i z =
I m