14860 (2) 26639 Cleo Ave.
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATTIO¢¢N FOR PLUMBINyGf and/or GAS PIPING PERMIT
De#e. "_o`..:.SJ........ - ...... 19.L-b Permit No.-----4?!� .----------------
The undersigned h eby make ph tion t the Plumbing or of the City of San Jose
for a permit to ins r in t pi sIe o r versa side.
Exemption fro r w or f pr ' o or's License is hereby claimed
by undersigned: es owner statement filed ❑
Undersigned attests that his S e of California Contractor's License #'
is in full force end effect and pro lyrizan.I f-�;'`
San Jose
City Business Lice a / �)"—/�/
I certify that in the performance the work for which this par iss�issued 1 shell not employ
any person in any gmanner so as to violate the workmen's compensation laws of California.
OWNER /A�i�LTE/P cS/LYA ( C/`�f1P%//Z/d
/f'/9/L/NjU H� 3�7�`�-0 Lo# No.
ADDRESS RQ,4 av�-� C LL'o A PZ cS'i
USE OF BUILDING /l ,A'Sl10 W1 �~
280-30(9-13) Signed -. - - -- - -- - --.
20638 Cleo Ave. oP -
T W O i o D C a S T Q p N o c c o 0 - o T W f
a _ = o — rt o 0 0
A E 3 n' o a o ° 3 m' TTN ^ o ° s o 0
o 1
i E
ON fl Ip N N •� 0 y Y G N ° R 7 N y o C
D N N r
< ID N
MT
m
A 7 y N
Z
Q
------------------ T
m
m
OoD aoD WD pD - H G1 y ; T Ll? Z to -oto 1to
990 'O R C O O ° O H O O H O O
< N Ip x ° 1p N M N
3 3 N 3• m � . 3 c r D
d d Z 7 d d fi I T 0 r ?
T O O Q >
c y N n 0 � � � o �. � N C x D
T O p T o A O y- m R O Z
° gym N m ° H m o � " M m
m m H _ � ° z ° D
o v m D z
N ; GZ-1
g m