33614 (2) 7712 ROBINDELL
q Building Permit Confirmed 0
- Not Required 0
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or .GAS PIPING PERMIT
Date:----------------- V��0/2-. ............ 19./Permit No...........3Xc C_—..--
The undersigned herey as application to the Plumbing Ins pac of iha Ci}y of San Jose
for a permit to install pu in i r n o es a fh arse tido.
Exemption from requir e a a r o or's License is hereby claimed
by undersigned: as caner 0 I statement filed 0
Calif
Undersigned attests that his State of rote Coniracfor'z License G`6L
is in full force and effect end properly aufhori pplice 5�
'
San Jose City Business License # /
I certify that in the performance of the work for which this permit is issue s ell not employ
any person in any manner so s to violate fh workmen's compensation laws of California.
OWNER A �,
ADDRESS 77/OLJ &2&'
Lot No.
USE OF BUILDING
Sign .. . .0/^l'J ✓v ... -
401n
7712 ROBINDELL ACE
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