23942 (2) 1451 saratoga/sunnyvale rd
Building Permit Confirmed ❑ _
Not Required Ufa/
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date... - . . `_-------- ------ 19.7 - Permi+ No. - 3 �f ...
The undersigned hereby th i pector of the City of San Jose
for a permit to install plu or es a reverse side.
Exemption from requirement f r State of California for Contractor's License is hereby claimed
by undersigned: as owner ❑ statement ffiled y
Undersigned attests that his State of Califo/hiJse.onfrsA�i�y�sy0
is in full force and effect and properly authoriz h pp' i
San Jose City Business License # e7 — D .2 ZP7
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.
OWNERIV
ADDRESS
USE OF BUILDING
280-30 (9.73) Signed . .. .. .. . .... .- --...
1451 SARATOGAfSUNNYVALE RD pST7�TYnv_ coTVQ
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