34039 (2) 7645 WATER FoRn DRIvE (�J Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date--... .-/-.Q................ 19------- Permit No—SIC--a'37........----........
Tha un ersigne heroby es ep ation to the Plumbing Inspector of the City of Sen Jose
for a permit to install plu m e / ip aB n averse side.
Exemption from req uiremen fat o Ca ni fdF tiQrQYCtor's License is hereby claimed
by undersigned: s owner ❑ statement filed ❑ A
Undersigned attests that his State of California Con}iactor's License # 21.§a
is in full force and effect and properly authorizes cetigp.
San Jose City Business License #
1 certify that in the performance of the work for which this permit is issued s all not employ
any person in any manner so as to lafe the workmen's compensation laws of California.
OWNER A-`
ADDRESS// Lot No.
USE OF BUILDING
Signed_. C� ---------------------------
7645
..... '---7645 WATER FORD DRIVE T & F CONST. CO.
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