28586 (2) 7838 MC CLELLAN
(�- Building Permit Confirmed QQ
Not Required [�
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING
��yyPERMIT
Date------------.------s--a-7------ -2--D--
------- 19--77Permit No 4--------------
The undersigned e �fCali
h6 lu Inzpador of the City of Sen Jose
{ora permit }o insfjns� rridr i n the reverse side.
Exemption from 1 q5 re ornia for Contractor's License is hereby claimed
by undersigned: as owner statement filed ❑
Undersigned attests that his State of ifor a Contr L' s'
is in full force and effect and properly a th iz e
San Jose City Business License # '—
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 T SO S6
ADDRESS 79'3d' /SIC('/e-//Ct,A Lot No.
USE OF BUILDING '5 N e wn�i�U
A & J VALLEY PLUMBING
280 30
Signed - -
P, 0. BOX 524 SANTA CLARA. CALIF,
7838 MC CLELLAN A & J VALLEY
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