14926 (2) 5951 Sutton ,park place
9 Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date---may'-�--`a1---------------- 19--7:-J`�Permit No.-----. `'... _...........
The undersigned hereby makes application to the Plumbing Inspector of the City of San Jose
for a permit to in si n dpi s1 on the reverse side.
Exemption from require f r Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑ q
Undersigned attests that his State o4 i{ Co
is in full force and effect and properly ax this plc
9 i2
San Jose City Business License # HP/h91 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 �A /C G 6CIZLIis
ADDRESS 5215/ SLr7TON leke ' 12lea— Lot No.
USE OF BUILDING O /
280-30(9-73) Signed..... 5�-�'✓L...... �lC1.------------ .
"
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