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23029 (2) 1120 ROLLINGDELL COURT Building Permit Confirmed—E Not Required ❑ CITY OF SAN JOSE BUILDING DEPARTMENT APPLICATION FOR PLUMBING and/or GAS PIPIN�jG PERMIT Date---�'------�-------------------------- 19-74 Permit No. �---ae 1........................ The undersigned reby makes application to the Plumbing Inspector of the City of San Jose fora permit to in 1 nn��/ s on the reverse side. Exemption fro r p�'ry s"r"' d is or Contractor's License is hereby claimed by undersigned: as owner ❑ statement filed ❑ Undersigned aHosts that his State f rni o a pprr ��n0�5—�G is in full force and effect and proper) San Jose City Business License # 7 / ��07ory 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. , OWNER Tr c 7� S7/_t5 ADDRESS //a� Lot No--3 a USE OF BUILDING � - ' � 280-30E (sas) signed ._A & J VaL!_EY ('LUMBING P. 0. B0;( 524 - SAf4TA CORA. CALM. 1120 ROLLINGDELL COURT A & J VALLEY PLUMBING >a c m m 0 a 0 0 0 0 _ r T W IE F R < 1 C 1p J y 0 -' y J N N N < O y r EL N 1 _ J 1 f o o -1 o H m o N J C "� a O N T O O J N �' T O 3 N f/� H N N 0 0_ m G A N J m O N N N J QQ QQQQ. o X G p9 'O � ca V < Inm T NZ N N -� N y .0 OOoO 'o ZAoCA C c L nM A N T m\ G1 „ o A n o T m Z �, N m m > m n' H A A A ,� 10 kH - NoAo y Tm y4 W V I t h N 1 _' m