31770 (2) 1463 SARATOGA SUNNYVALE WD
Building Permit Confirmed.Bi
7r6 / Not Required ❑
CITY OF SAN JOSE / BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date--// J .-----.--_------- ----- 19.7.7Permit No...'3�7��
......-.-(.-. ... ---...................---
The undersigned hereby makes application to the Plumbing Inspector of the City of San Jose
for a permit to install plu 'xt n r {syet 0 the reverse side.
Exemption from requi xo �Co+tractor's License is hereby claimed
by undersigned: s owner ❑ statement filed
Undersigned attests that his State of Calif is ontract Lic nsa
is in full force and affect and properly author' e ae PI' +
San Jose City Business License # A
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��// ��Oa/�/�✓%�'7
ADDRESS Lot No.
USEB ILDING
Signed -----.......
280-401n
1463 SARATOGA SUNNYVALE RD FURLO BROS
MOS N -4E DC NSTGONEE EE 7Cr N00EE
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