15835 (2) 7585 Waterford dr
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPINGPERMITPERMIT
Date_. S —}9 Permit No- A...3..
The undersigned hereby makes lication to the Plumbing Inspector of the City of San Jose
for a permit to install plumbing f' ur a }h ro�` id--
'a
Exemption from requirement nia nf; t cense is hereby claimed
by undersigned: as own ❑ statement filed ❑!-
Undersigned at asts that his State of California Cantr tor's License #' �'"'� 2
is in full force and effect and properly authorizes this aped{ c 4i
San Jose City Business License # L�'�—r/ s�L' g/G5'4
I certify that in the performance of the work for which this permit is issued 1 she not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER��q12,� 7a (�
ADDRESS �i9/JjJ (��/ �Rr�R� n� Lot No.
USE OF BUILDING
280-30(9-73) Signed ..._ iL��LZ.:LyL--f�-'�--Xf�---
7585 Waterford =a e
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