25275 (2) 1099 90. STELLING
Building Permit Confirmed ❑
Not Required ❑
,CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date --------------------- I��Permit No.�...��� ��
-------------------------
The undersigned hereby makes application to the Plumbing Inspector of the City of San Jose
for a permit to install plumbing fixtur o I'hp �e e.
Exemption from requirement for on se is hereby claimed
by undersigned: as owner statement filed ❑
Undersigned attests that his State of California Contract s License
is in full force and effect and properly euth.rixas this
app is,�p �[''
Sen Jose City Business License # Lz 7'�/ _�/(��
I certify that in the performance of the work for which }his permit is '$sued I shall n t employ
any person in any m ner so as to violate the workmen's compensation laws of California.
OWNER
ADDRESS '
USE OF BUILDING / /
280-30(9-p31 Signe ._. ...�./�.���`�-�-"--
1099 SO. STELLING ACE `� `�
D C o = T p 0v� o D o c p7cr T W. ::E f
jp J •p N
N
T
m
m
W D W 9 W 9 W 9 T N C) ZE f/1 3
•p y S ry � O O Q O H O O H O O
n. dA i � n. G1 � v v+ p pm J ST D
x D �
U ^ T R T T N T mm D
z• -. .Zl r O A T rt O T o' o m A o Z
J N T N N m m
C o vii o
D o n
T v m z
A N CZl