39622 7 37 80ftiNGER ROAD PHONE: 277-4581 lv i/
rJ Building Permit Confirmed .
��3 •Not Required ❑
CITY OF SAN JOSE U BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS 'PIPING- PERMIT
Date...... .-..07.0............ .............:... 19.7?.. Perrni+ No....... .............w�
The undersigned hareb a es appl' fin fo 1heb'y�g igsor of the City of San Jose
for e-permit to install plu bin {i ur a o es n d n 4 re erre side: -
Exemption from requir e r e fo ac s License ishereby claimed
by undersigned: - as own r ❑ statement,filed ❑ _
Undersigned attests 4 his Sfate California Contiactor's License'# r* 4f? I3 5
is in full force and effect, and properly authorises this application.
San Jose City Business License #
❑ 1 certify that in the performance o4 h 1 or
whi is rm i su s not employ
any person. _
OWNER 5• a . '2 -
ADDRESS /7-73 ��/ Lot No.
USE OF BUILDING
a
Signed ..ln/..rl k.^(-.... .Cos.Y........ .:.:....-------- -- ...
V ��S 280-601N
17337, BOI,z,INGER ROA➢ R.H.WRIGHT CONST.CO.
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