26081 (2) 7485 DE FOE DR
"I Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOOR PLUMBING and/or GAS PIPING PERMIT
Date.....//'/�//..z.......... 19------- Permit No.. .Yl.Q. �.�.................
The undarsigned'hereby ekes application o t Plumb; Jnspecto the City of San Jose
for a permit }o
install
pl bi fi u s li n ¢ rs side.
Exemption from requ e e alifo fo nt o ' icense is hereby claimed
by undersigned: as caner ❑ statement filed ❑
Undersigned attests that his State oCalifornia Contrjcfo 's License r#
is in full force and effect and properly or' efihis applic
Sen Jose City Business License #.-
I certify that in the performance of the vork for which this perriiit'is is ed shell not employ
any person in any manner so as f violate/the workmen's compensation laws of California.
OWNER 0/-/S o2167
ADDRESS 7` Lot No. 3
USE OF BUILDING �y
280-30(9-73) Signed 7-- -'--------------------- ---.. . .......:. .. .... ,
485 DE FOE DR T 6 F
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