4905 (2)810 Stendahl Lane 9
Building Permit Confirmed ❑
Not Required 9
CITY OF SAN JOSE BUILDING. DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PE IT
q / /-
Date --/�--�..1... �-------------.....---- 19%� -
Permit No.---------------L..Q-c-------------------
The undersigned heroby makes pplication to the Plumbing Inspector of the City of San Jose
for a permit to insfall plumbing x r J/pf®s Sfj overs. side.
Exemption from requiremen i i ax( on rectors License is hereby claimed
by undersigned: as ov,er ❑ statement filed ❑
Undersigned affests that his Sfafe of California C n
qe�o� o
is in full force and effect and properly authorises h. 45;
San Jose City Business License #
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any manner sP as to violate the workmen's compensation laws of California.
OWNER
ADDRESr.
USE OF BUILDING—��
280-30 USE
- - -...-- -------.........
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