32260 7458 BOLLINGER RD /
N'Y'P/X� d'1r Building Permit Confirmed ❑
.�� Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date........-------/(/�.�Z-?............ 19:2 Permit No........' ----------------
The undersigned here y mak p' t' th robing Inspector of the City of San Jose
for a permit to install p i g i t c d o li ed on the reverse side.
Exemption from req r a e I ornia or Cent recTor'z License is her by claimed
by undersigned: owner ❑ statement filed ❑
Undersigned attests that his State of li is Contr c}or's L' a e
is in full force and effect and properly a h his ap a on
San Jose City Business License #
I certify that in the performance of the work for which this permit is issu d I shall not employ
any person inany mann so es to viol to,the workmen's compensation laws of California.
OWNER
ADDRESS 1 of No.
USE OF
BUILDING
Signed .. . .
� 280-401n
45 BOLLINGER RD ACE PLBG
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