28675 (2) 8159 PRESIDIO Building Permit Confirmed fft--
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date-----0---�--9-------------- 19---7?Permit No.. `ll. 7 .....................`
The undersigned h reby makes application to the Plumbing Inspector of the City of San Jose
for a permit to instafls��in lYf�tei dPoTipes lis d%h the reverse side.
Exemption from(requuem t-fov5t to ofrCelif�nia0 or�Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑
Undersigned attests that his State of California Contractor's License # L' 36 — �/ of .3
is in full force and aiFact and properly> rs�hise—p a ion. �'n
San Jose City Business License # s� f[ .
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 workmen's compensation laws of California.
OWNERMR- V-M&S
ADDRESS 9157 7 Ain Lot No.
USE OF BUILDING
Signed .......---
Lo
eG �/ u d"'i�280-401n.
8159 PRESIDIO CRAIG
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