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76437 (2) 619 Min, COURT r Building Permit Confirmed -Not Required CITY OF SAN JOSE BUILDING DEPARTMENT APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT Date---------------... ...... ..... 19.71.- Permit No_! -.�-.r�.. Z--..--.. The undersigned here b]]II/ma es application to the Plum bin Inspe for of the City of San Jose for a permit to install pl bi f( / res and%oripe�s isfad h ' reverse side. Exemption from requrremen! fj SRix CSlifSmiaf.fo Con"liax:4 i License is hereby claimed by undersigned: s owner ❑ statement filed ❑ Undersigned attests that his State of California Contractor's Licensees# is in full force and affect and properly au} s�}liis.eppl ica}I'1 n.���!! /� San Jose City Business License # }b' /�/6/ �f' I certify that in the performance of the work for which this permit is issurd 1 hall not employ any person in any manner so as to violate the workmen's compensation laws of California. OWNERS ADDRESS �� �� e� -- ��� Lot No. USE OF BUILDING -^ Signed f/okrr Co��lT 280-401n 619 PHIL COURT HOUTS CONST. c WOE E d o >a a S T O O n c a ;R r T W E 7E m 6 O m J y O y J N N N O p O p 0 A O J fIST OE p_ N O 9 N �. •n J AO ; p N N N N N O O J I � � N !1 m N N � N • (� O � � m 1p C TT D < R m N J RI T 0 1 N N N A N V f O 0 c m W D W W W 9 T to a F vN ; T v! Z f 9 9 N C N p p 3. K O H p H c 'ppo Z 3 < A ' m my m m A m °• T aA aT ao m 1 T �^ O O p S W Z . 02f J c y N n O A � N o J• 2 N C x D f `) �; TJ m m m c A A o T A o Z Gl T O J Nm m N N N m 0 '^ m �. < m �. Cm �. A 1 T A tL p D �A y T m D Z A `"�N a o N J 3 zD 0 c c m