29638 (2) 1092 MILKY WAY -
Building Permit Confirmed N
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT :.
APPLICATION FOR PLUMBING and/or GAS (PING PERMIT
Date------ -- - - 197;7 Permit No.._. ... {l1_, , .......
The undersigned hereby e a lic r fo f e Plumb' Spector of the City of San Jose
for a permit to install plu r r of drhe reverse side.
Exemption from requirement f fate of Ca ifornia for Contractor's Licence is hereby claimed
by undersigned: as owner 0 statement filed
Undersigned attests that his State of Cali(yyn�rfntractoj '-
is in full force and effect and properly euthorifolf /dP,plijAn.� �V
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 fo violate the
/workmen's compensation laws of California.
OWNER //?/A"*F'z
ADDRESS Lot No.
USE OF BUILDING 90
Signed.'
280�ltOln
1092 MILKY WAY HERITAGE POOLS
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