12844 (2) 747 Steaahal. ,�
Building Permit Confirmed
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR -PLUMBIN"d/or GAS PIPING PERMIT
Dafe-----`�/ --4. ....................... ;2A - Pernnif No................/-. .......
The undersigned hereb makes application to the Plumbing Inspector of the City of San Jose
for a permit to install Is i s X d reverse side.
Exemption from req ' r of if rector's License is hereby claimed
by undersigned: as owner I statement filed ❑
Undersigned attests that his State of California C ntrac{orIs License #
is in Sa; force and affectUsines and properly authorizes #hi p�'eefio�/��` .
Sah Jose City Business License # �L—
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 h N I L A),a t) F— (` Sit fes(
ADDRESS RL Lot No.
USE OF BUILDING 7
I
280-3019 73) Signed--�_@�±!„S_.....--- --
747 Stendhal Lane Anderson
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