19451 (2) 7530 WATERFORD DR.
Building Permit Confirmed ❑
No+ Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING
GPPEERMIT
D a f e Permit No.----------- Z. ---.1------`---------
The undersigned hereby m s application to the Plumbing Inspector of the City of San Jose
fora permit 4o ins}all plumb' g x} / jiyae{ opsihLyeyerse side.
Exemption from require 'F7fGr o s License is hereby claimed
by undersigned: as ner ❑ statement filed ,
Undersigned attests that his State of California Co rac}or's License #�
is in full force and affect and properly authorizes this ). n�p�H /�j
San Jose City Business License #' �/ F[�y L%— —
I certify that in the performance of the work for which this permit is issued shall not employ
any person in any manner so as too •iolate the workmen's compensation laws of California.
OWNER(
ADDRESS Lo+ No. .
USE OF BUILDING-
280-30
UILDING 280-30(9-73) - Signed. . .` � -�� /'--''-s•
�/
7530 WATERFORD DR. RCE PLB G
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