36031 (2) 916 CANDLEWOOD DR
Building Permit Confirmed ❑
Not Required % ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBINGand/or GAS PIPING PERMIT
Date............................. I� Permit No...........3--&-o3-/ .............
The undersigned her ekes li 4io t •Plum i specter of the City of Sen Jose
for a permit fo ins}all u i f r ip f on he reverse tide.
Exemption from r or o alio is or on}rac}or's License is hereby claimed
by undersigned: as owns ❑ statemenf filed-
Undersigned attests that his State
California Contractor's License #
is in full force and effect and properly th 4hi p c '^
San Jose City Business License # _( s r / JC
I certify that in the performance of fha wor�or which this permi�sued I shall not employ
any person in any workmen's compensation laws of California.
OWNER
ADDRESS c
USE OF BUILDING
Signed..... - ----------------
280-401n
ACE
916 CANDLEWOOD DR
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