91957 (3) ,F777882- Brent 'Dr
d �� a 7 s�*F t 8uildmg Perinl+ Confirmed"11
I� A.
'Not. Required „ r '-'❑ r
-CITY OF SAN' JC`SE X 'l 'L' BIDING DEPARTMENT
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'APPLGCATION FOR ELECTRICAL PERMIT,
y
Dafeg 19-IDO m
Per1+" No ,
The'undersigned, re y. - a --'a lic -} le• Inspec+or of ilia Giy of San J,
for as perms{ fo ins ci c fi a on the.reverse sidd -
Exarrip+mn fio q 4 for a+'e f allfornia for,Contractor's. License is:hereby clalmedp'^, u
rby underslg nod.': s;owner statement filed ❑
Undersigned a+}es+s:that. his +a# , f Califo Is Co tact rs i an a
--,5,is in full force and of act and , o y au+hon t in
San:Jose City Business Lrri �/ +/ -
'I certify thatAh the performance of the work {or which +hn
perm is issued I shall not employs .n
any person in any-manner so as to'viola+e;}he work s ebmpensa#ion laws of Califd}ma �',,.
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OWNER '.:iJ •` ^rI� P( � Yat
ADDRESS'
i
USE OF;BUILDING
FIRM' [ ycJPiz SIGNED
FORM 2e0-,10 110/9>) 10M ;
w = �f F ,882 Brent' D f�3 7/ Toeoher
q
682 .Bient
Building Permit`Confirmed,
- - Not Required ❑' I
CITY OF'S-AN JOSE . BUILDING:DEPARTMENT ,
APPLICATION FOR .PLUMBING and/or GAS''PIPING .PERMIT
Dafe----- - _-----1' ----_...---- 19_�F Permit No.-------.F_].?�(
------------
k - Tfie undersigned he p ice+i 4 Plu bin e for of 46,Ci+y of San Joss for e. permit to instal es' o ip I' d n averse aide. ,
4'
Exemption from requireme for o alif rni {or Contractor's License is hereby claimed
by u`ndersigned:,,,-, as owner statement filed ❑ .. -
Undersigned attests.that his State "of alifo n' cc f, +o
is in full force and effect,and properly' } is ap c o
San Jose City Business License,#'
I certify that in the p'erformanco'of the work for ;hi. this permi# s is ed I shall not.employ _
'any parson in any manner so az to violate the workmen's compensation ws of California.'
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OWNERjoy ft> ct� 2
• ADDRESS aeF— ee4) ' ,e . '
,USE OF BUILDING AJC
FORM 280-30 10M 1/ee Signed..-- -- -- -;-- .
882 Brent ToeP er