9039 1185 Yorkshire .Ct• Building Permit Confirmed ❑
Not Required 3-
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
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Dafe---------------------------- ------ 19-----. Permit No.------- --.. .--.............
The undersigned here,,yy �kesPppyylioa�ion J9dre IP�3unbingnsp r3of /he City of San.Jose
for a permit to ins+ell pldm ngifizfGresA�{,p'i;pipe�list�deoq�l�.e terse side.
Exemption From requirement f751a1e of California for Contractor's License is hereby claimed
by undersigned: as owner 0statement Filed 0-2j9/ 237 C3�
Undersigned attests that his Slate of California Crontractor's License #
is in full force and effect and properly authorizes thYliffsplication.
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 manner so as to violate the workmen's compensation laws of California.
OWNER / lT /LL/NS, N
ADDRESS / l r yolzifs R E CT Lot No.
USE OF BUILDING C S
Signed�G:C4_ A W St cd--/2�aw ........
28030
1189 Yorkshire ct ace i
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