24807 (2) 7577 BOLLINGER
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date /l/O{!Y .. ..............-- -- 19..`L[n'Peeerm���innnt���No------�yWa7.....................
The undersigned he y mak li n- Yg Inspecfor of the City of San Jose
fora permit to install pl s / pi li d n the reverso side.
Exemption from r qui f o lif m f Erad.r's License is hereby claimed
by undersigned: s owner ❑ statement filed ❑ .s
Undersigned attests that his State of California Contractor's License #_31_2_733
is in full force and af(ec} end erly auffiori:es is appI'cefio
San Jose City Business Licen a �/"
I certify }ha} in the perfor he wor pe is i u I shall not employ
any person in any manner
�so"as }e Oho w rk ens c mpons ' n I s of California.
OWNER
ADDRESS _7-;C7 Rn Lot No.,3
USE OF BUILDING �C
280-30(9-13) ,.- / Signed---------- --/fq�/t.�,----
7577 BOLLINGER �ACIF�CECHANIC�A2!
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