32785 (2) 745 . PROSPECT RD
i Building Permit Confirmed ❑
C Not Required ❑
CITY OF SAN JOSE / BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date........
- -.1...- 19-S.! Permi+ No. 3,°Z. ..�..5.. ... r.. .
The undersigned he�b7j`ig(k agdl�ufion tg7fh'� PJ�rr✓1(irT�lnspactor of the City of San Jose
fore permit to install I rs{b#a nfureirse d{d�rf' �g6/If}edeon the reverse side.
Exemption from requiremen for State of California for Contractor's License is hereby claimed
by undersigned: as owner y s,t/atement filed,
Undersigned attests that his State ofd afi dran�ia Con re
is in full force and effect and properly au�ffr'or
San Jose City Business License # A J
1 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.
OWNER
ADDRESS �� Lot No.
USE OF BUILDING .
Signed _. ` b.1115,.....
280-401n
7451 'PROSPECT RD. ACE
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