14765 (2) 58,42-Orion way ��i
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date....1.1.1.C�-y_--�--�---_............... 19 .J. Parrott No.--- --G-- -- ----...---------
The undersigned hereby makes appli a�ipn }o he PI bjp Inspector of the City of San Jose
for a permit to install plurrigi� yr s�n /d p�paA's}$"d r erse side.
Esemp}ion from requie9 f0 Sfa} o Califorrrnia Jor ontmefor's License is ereby claimed
by undersigned: ar owner E] statement filed a� O
Undersigned attests that his State of California Coa�rr}rector's License #
+ is in full force and effect and properly au
}hy}' fhi4'appli ti /
San Jose City Business License # �
I certify that in the performance of— o'�+'
Ark fo�this permit is issuesa I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER S 1 a0E Q�L 9- ` O � `N` ``
ADDRESS � '.3- �l N h�i �' Lot No. �3
USE OF BUILDINGC �-�Pf—m I (�
Signed..A )-- �c��c--------\w —
.�:5----- ----..
280-30 �rn - -G-4,f
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7842 Orion Way C?Admiral F.Pools
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