24497 (2) 7408 FALLENLEAF LANE
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Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION)FOR PLUMBING and/or GAS PIPING PERMIT
Date_s Q/C .�- - ----
e-- Permit No--------- -F7----------------
The ersigned h b me a li 'on PI Inspector of the City of San Jose-
ffor a permiT fo inst p u nd/ r s e on the reverse side.
Exemption fro r nt for ate California or Contractor's License is hereby claimed
by undersigned. as owner ❑ statement filed f
Undersigned attests that his Stai of California Contractor's License
is in full force and effect and prop e)fy)a i a, fhiy_k 'c lip e:5;
San Jose City Business License �1�7J/
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 �7� e////Dl/ /i ��f Lot No.
USE OF BUILDING /
280-30(9-73) Signe ..�.(/.�. ----- -.. ....
7408 FALLENLEAF LANE
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