24189 (2) 7950 FALL CT
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING/arid/or GAS PIPING PERMIT
Date.Y---
The
- f----_..............------- 19�- Permit No._ -T..(.�J...�----------_...--------
ned hereby makes application to the Plumbi Inspector of the City of Sen Jose
for a permit to install Is i r a r f�Ba is" the reverse side.
Exemption from regL r to o allfornia !or Contractor's License is hereby claimed
by, undersigned: as owner ❑ sfefemani filed - ^
Undersigned attests that his State of Ca&o � nfff °s/Aif — /
is in full force and effect and properly auth�U7lus a,'ca 10{/'/
San Jose City Business License #' Y
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER y
ADDRESS / Lot No.
USE OF BUILDING
280-30(9-73) Signed -..
7950 FALL CT ��
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