30761 (2) 7635 RAINBOW DR [a.QA1N?Y-wT0k1
Building Permit Confirmed.4 "
p°rw
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date.........(./L...................... ........ 197.7.. Permit No......�..0.7.4/Q..L-----------------
The undersigned here makes ep>licaii n to 4ha ig Inspe of the City of San Jose
for a permit }o install u n f' r pes ste t. o side.
Exemption from r r a C ' r { a s Liconsa is hereby claimed
by undersigned: as owner ® statement filed ❑
Undersigned attests that his State of Ca'fornia Contiac}or's License #
is in full force and effect and properly aufhi lication.
San Jose City Business License #
I certify that in the performance of�fho ra ork for which this-�permit is issued I she t employ
any person in any manner so as to violate the workmen's compensation laws of California.
�
OWNER ki-dO ff L0.. ML
ADDRESS �lo PQ r n h o to by- • Lot No.
USE OF BUILDING �� Q
6
Signed... ._. _ ....... ....... �JL .....------
280-401n
7635. RAINBOW DR OWNER
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