3158 (2) 7543 FALLEN LEAF LN
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION ��F77OR PLUMBING and/or GAS PIPING PERMIT
Date.... ................ 1922 Permit No.---------- L�.........
The undersigned hereby makes,epplicafion to the Plumbing Inspector of the City of San Jose
fore permit to install lum bin "f and eP lis d n fh "Voi a side.
Exemption from requirarpe to/(SYyfa of-C
it,
o ifo/ epi License is hereby claimed
by undersigned: as o er ❑ statement' Licfiled
Undersigned attests that his State of Calif ord Contractor's License
e #
is in full force and effect and properly au}horia f 1 �lica}ion i
San Jose City Business License #— ���j�j�X -
I certify that in the performance of the work for which this permit is issued I shell not employ
any person in any mann to s to violate the workmen's compensation laws of California.
OWNER
ADDRESS Lot No.
r
USE OF BUILDING -------------
/
Signed ....
\ i' ....
280-.401n
7543. FALLEN LEAF LN ACE ELBE
e W
n p94 -io DC o 2 T p ONo n n e o s o0 0
O ry -' = O y = N N N O
m E ; 3 — A o o d a ° o u T T T o E c o n
Q
O � � 0
N N F
D IC O N = m T p 1 N N N m
r O N L —
_
N
Z
O
T
m
m
W D W9 W� p9 y N G� F �+ T NZ f N _{ N -{ N
O _O N O O O o
;.J
o:T a A dT im 1 - 9 N D T = T =
'o m p K f
g � Nt� pT c D �
" T m o o A n o m A. o Z
_• .TM.
O
-n
R G'1 T
m0 D
m m N c
— �
T y a m D Z
In A " 3