42069 (2) ii�S �t�sr�onv n�Yv� ,
Buildin9 Permii Confirmad�
Nof Raquired
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING. PERMIT
IDafe�Q�.45.�----.... 19.i'7. Permi# No....--...Ll'.�.t.-.°-�---,r"'-----...--�--- .
The undersigned here y mak ; ap lication 40 1 e PI bing Inspecfor of iha Cify of Sen Joso
for a permi} to ins}all u n fi dP r/�('i st d on tha rcrarse sida.
ERempflon irom r uli�fo ate of�Cali o �r Coniracior's License is herabY deim"e/d
. by undersigned: � as owner ❑ sfalemen} filed_O�L7�'L(�
Undersigned aftes}s hha! his S�ie o4 Cali4ornie Contreclor's License #
is in full {orce end effacf and prodeT�y eufhori ' e, li 1i • '—�
San Jose Cily Business Licenso/# / { � �
I terfify lhaf in the per(ormance of fhe� which fhis permit is issued I shell noT amploy
eny person in any manno/r �o(as to �iola}e ihv workmen's_coImpansefion law�s�f Cali4ornie.
OWNER � 1,�11 .�2 �� ( �"oV�S X( r�ni��-�o✓t�v. �
ADDRE55 /I� C% ��yJ ��fC'� 17�L Lo+ No.
USE OF BUILDING `5��� �<G" I�S �
, $igned .. ._. ...G�G���-' . ....---��.....`.�.............
28 0-�+�1n
1158 ELMSFORD DRIVE louis i .oiznic _ const
= W � � H 1 f a c H x � v o H f E f � v r H w � �
n d F. 'o � ' ° 0 7. A � y o 0 0 -' o T o n o
' � = m"' '�� 3 _ � ooa� o � .'. � AT �- � ^ o � TmA
o = .�. � ' f- O � -1 �° � c � � � A � � a � � �
-1 � 2 p tn m o c N � C i e O � _ u e n = X
� � c — o °a � a �. T � 0 3 N �nrt o' o m
� � N A i N � O N � ^ U O � � � N � � C
D � A (� �, � 'm T y. N � � -.o
. � m U ,o � � 1 m
� O C � m N
R � 9 N
N
Z I
�
T
m
m
W a W a W a W v v �n�C1 E in 3 T �!' Z f v�
9 9 9 iD � O O � O � H O p � N 1 1I�
�. X . �I H� � H'
< i < < H 3. m � + '3 ' c � r m m A A '°
� d A o. � aC'1 � -1 ~ v �^ � p m �. S71 D
T o o � m O � �' � o °. T N 0 x f Z
. . � n1 �o � • ; _ � � � n f
, � ~ � T �7 N N n ;
.,�' T � � ° � O � � m T ,� T rt� io 3 r�il � .� n
6 �� A 71 � � m N T R G1 T y '� A o T N p =
� N T T D 0 N N � m '� � rC �
N A
� m m `^ c � o � e a � D
I � y m D
A d d d N ; � z