8759 (2) 899 September Ct.
Building Permit Confirmed Ea�
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING/ and/or GAS PIPING PERMIT
Date.`�.�.�. ----------------- 19.7-( Permit No.-------P-------------------
The undersigned hereby s application to the Plumbing Inspector of the City of San Jose
for a permit to ins+all plum ng / i d n arse side.
Exemption from require a ni f or's License is hereby claimed
by undersigned: a owner statement filed ❑ _ n !I('
Undersigned attests that his State of California C ctoor''s License #//P ✓-1w4
is in full force and Business
and properly autk r es, s /*jwn�/✓ i er
San Jose City Business License #
I certify that in the performance of the work for which this permit is issued I shall oto employ
any person in any manner so as toviolate the workmen's compensation laws of California.
OWNER
ADDRESS Lot No.
USE OF.BUILDING( Signed
2e0.30
-L.-- �(.-../ Vl✓=✓ d-- �
899 September Ct. Royal Pools
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