37931 rYso sr�.F�o� T��
Building Permit Confirmed /
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
�f� q
DateC.'.... ((/ 19------ Permit No.----...-- �.. -1-- - ..............
Tha undersigned are6Y/rT94ep appiicafi n�lo }�ie Pfu�n b'n . Inspector of the City of San Jose
for a permit to install plu�n��x�ures�anil152 �s�.lirsfedfenffhe reverse side.
Exemption from requirement f9l State of California for Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed
Undersigned attests that his Slate of California Cofra�tor�z License #
is in full force and effect and properly autliorim fhis appl"eatiori.
San Jose City Business License #—
Jw
1 certify that in the performance of the work for which this permi is issued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER /RA-liL� (��S
ADDRESS ��/ s_�_' TA��n��7 Lot No. '7 v
USE OF BUILDING
In
1150 STAFFORD T & CONST.
wv ,- v -j * ac v+ sT_ vvm f E
' p O p p
!1 l d O N J J Jr O S S N O O S N N
o n- F 3 o f
o - � o r o � iN o N � � o o c n = x
'V p O p d J 9 G. y
N o • p C
D G N O N J N T T N N N A
r — m
N
� O
T
m
m i
W D Oo n OOD pD � N Cl EE T �! Z EN - N -4
9 V O C p O O p H O p H p H O N
< N A J % p � N O A A O
d T d A
o p O m J
o o A A o T A o Z
VJ J N T N T O H mm. i O A N v
m