31594 (2) 7561 PEACH BLOSSOM DR
Building
vit Confirmed 0
Not Required
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
,�r-, �'�77-7 rQ� C�
Date-----... . -- --U!/.,. ../ //yy�� 1922.�. Permit No�.._.......J-.1.57-4�-._-------
The unde igned hereb dkeYsapp4ccaorto/the P.lu4 4spector of the City of San Jose
for a permit to install plum6ing'`jfixture's and/or4pipesel isted on the reverse side.
Exemption from requirement for State of California for Contra cfor's License is hereby claimed
by undersigned: as owner ❑ �Ife� led
Undersigned attests that his State of Cali{ornla Contractors lkan a
is in full force and effect end properly authorixesvfhi^s'applieatisn(s'
San Jose City Business License # ! Com,/
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 workman's compensation laws of California.
OWNER
ADDRESSUSE OF OF BUILDING
goad ... ._ 7�
280-401n
7561 PEACH BLOSSOM DR d� � 'ACE PLBG
W0 � --I 4E DC NSTOON E EE E O ;c r N M E
JE
�• o - y T ^ r Oin � � O ] — -i ] 1 OE � O .". � P1S T
_ N
O3 N y O C
q ] 9 N
N
Z
O
T
-- - - m
wD wD wD mD ` V> 3
1Oo oii ' � � " STn 3. m N C D" N D D
0NT nT o A N o m o oTI m
Ti O N _.mom on
_ _ym D z
N O ; O
m