41527 (2) 906 NEW NAVEN COURT � ""o"E: z"-°SB,
' - �� Bailding Permif Confirmed ❑
No} Reduired - ❑
• C4TY OF SAN JOSE �� BUILDING DEPARTMENT
� APPLICATION FOR ,PLUMBING and/or GAS PIPING PERMIT - .
� Dafe. � ,. / � � 197 . Permit No.---...r`�1,�....fJ..._�:...1...:........
� lP...---........._r �. �
' The un erslgned hcreby �kes/applfcafion fo i��Plu�ng�lnsp�r-of 4ha City o( San Josa '
, for e permit fo ins4all plumbing if re�d r��p`JI��d on f e `�se side.
' " ' ' Evemption irom raquirement f�$�re of California (or��on�or s Liconse is hereby cleimed'
. tby,undervgned: ' as o ner ❑ � , statemanf liled 4�. � �,��-j,
.{Undeni9ned altesh tha+ his Sfafe af Calil�ni5 Conlracfor's License ����— � .
� � - '�is im full {orce end e(iacf and properly auLfh,o/�/lq�es�Ih/is ap 113'tion. ' . '
� $an Jose Ciiy Business Cicense # " '/7�(G�� �
- ❑ I ceNify-fha} in ihe perlormance oF�+�ork (or w hich Ihis permi} is nsu d I�shell not employ °
eny person. � •
' OWNER ���� .
' ADDRESS ��1� /v0//�z�.1���1� Lot'No. _
,
. . USE OF BUILDING� -�' y�/
- � � � ,' . . Signed.� .1.-G'�/G�U -�'f--�� -----..._,.../!Z .�
� ���'�' � zeo-aafe� ,
906 NEW HAVEN ;COURT ACE
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