32897 1149 STAFFORD Building Permit Confirmed ❑
Not Required 1-9�.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION/FOR PLUMBING and/or
and/or GAS PIPING
�/PERMIT
Date- -- -- U--- -----._.... IY�iL. Permit No.--��.f�� l ---------
-- 21 -
The undersigned hereby A. 4I Ii, ti n t ))Sed Plgm bing�lnsgeelior of the City of San Jose
for a permit fo install plumbing filfuy andpides iSS4pd £�Js�r¢verse side.
Exemption from requiremer:HorrV Iy a of ear fornfaifor Contractor's License is hereby claimed
by undersigned: as owner ❑ p statement filed 11
Undersigned attests that his State of California Co.Tfaofor's Licg se
is in full force and effect and properly authorizes this.@ppl,}
San Jose City Business License # 7" Y
*I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER L/
ADDRESS I Lot No.
USE OF BUILDING �S
C
' Sig - ---�, ..
280-4o1n
1149 STAFFORD ACE PLUMBING .
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