7877 (2) 5987 Sutton Pak Place
Building Permit Confirmed-E]�
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBIN(GG and/or GAS PIPINGPERMIT
Date------.... .-`1-...---..------------ If➢�..1'.. Permit No.-------_.�?- ).L...7----------------
The undersigned hereby applica"o { the rpbing c}o f } Cify of Sen Jose
for a permit to ins}all p um6� f rev s
Exemption from requirement for tae of Calif os for Contract se is hereby claimed
by undersigned: as owner ❑ statement filed ] ^O`� .
Undersigned attests that his State of California Contractors cense # ` s
is in full force and effect and prope;ll }hory i:es {his appl_ca}i //�/ ��
San Jose City Business License .((/C� Q❑J Q[�� /_"✓
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 vi.late the workmen's compensation laws of California.
r—
OWNER
ADDRESS 7114
(/ of No.
USE OF BUILDING S
28030 Signed ------------ .... ..... ... ...... ... . ..... .
5987 Sutton Park Place Lifetime
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