41539 (2) 7478 STANFORD PLACE PHONE: 277-4581Buildin:l Permit Confirmed ❑
Not Required
CITY OF SAN JOSE BUILDING. DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
pI
Date....Ln./^/.1�..t1,D.. ..... ..........:..._.. 19,77./y Permit No.... i...c�. 3.....1......... . ..........
The un artl slgr�ea hereby makes application to the Plumbing Inspecter of lthe City of San Jose
for a permit to install plum�f'il i• n or es draoys thf rse side.
Exemption from requi a f to ' License is hereby claimed
by undersigned: a caner - statement filed
Undersigned attests that his State of California Confrac}ox's license #�;-
is in full force and effect and properly authorizes this app ion. l
San Jose City Business License .#• �C ,�ys�r
0-1..cerfify that in }hj, performance of,-the work for which this permit is isxied 1 shall not employ
any person. �I ) !
OWNER l�fl l�Jji �/
ADDRESS YL�/l/ VC 2Y ! Lot No.
I
USE OF BUILDING_
Signed .4..`l� CL2�!/lQ,: ..
280-401N
7478 STANFORR PLACE ACE _ — '
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