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41428 (2) 1283 STAFFORD DRIVE Building Permit Confirmed ❑� Not Required f7�` CITY OF SAN JOSE BUILDING DEPARTMENT APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT Dat - 2 5 ---- ...... 17. Permit No. -- --t f' -........ The undersigned hereby makes application 4o the Plumbing Inspector of the City of San Jose for a permit to install pjum jinn fi+}�re�j �or pipe> on the reverse side. Exemption from raqusremen�or Safe o4C&ornia for Contractor's License is hereby claimed by undersigned: as owner ❑ statement filed C 6 JO Undersigned attests that his Stela of CSllfornie'Conlectorjs/LieensgW is in full force and effect and properly eu} orifi ss his gppliselion�� San Jose City Business License # I certify that in the erformance of hh;work for which this permit is issued I shall not employ any person in any mann r so as 4o viola}e the workmen's compensation laws of California. OWNER ADDRESS Lot No. USE OF BUILDING r Signed'--.-/?,� ------------------- ..:... !-/-o----- ..------. G SC � lit/-("pO/A "�6-o 8o-401n 1203 STAFFORD DRIV E A. 3. .TFRMTTF WOj NiE DC NST a 0N :C * :3E r Nw F F qFE 3 _ A OJ d9OJ + JrO SS TOETAA N Z T m m W D CC D CCD m D AN G'fFy T '_^. Z ::E 9 y O a aaA aG1 � -i a Np O m J 2T Z A m T o A O F � n � ; �• drl A T --I D Try T T u�i T m A m T 3. -4T n S — _. A r fD N T ° C) T o A O ° m O ° Z J Nm 'N° m ' n � A Nm A A '° A o mm N cO A v m D Z M m