33984 (2) 7564 Defoe `
Ui�aV >!i'i ionC Building Permit Confirme
Not Required
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION OR PLUMBING and/or GAS PIPINnG PERMIT
Date- (J
................. 19-7g.- Permit No.....- `�`
Tha undersigned he yef-. �
af' } P g nspactor of the City of Sen Jose
for a permit }o instal plu o o }he reverse side. .
Exemption from r ueme o ali nia for onfrecfor'z License i hereby claimed
by undersigned: er ❑ - statement figled^ ^O z (J�
Undersigned attests that his State o el' oznia Contractor's License '\ l tz
is in full fore and effect and properly t ize t illy t tis ap --� /
San Jose City Business License #
I certify that in the performance of the work for which this permit is issued I shall not employ ,
any parson in any manner so as to violatepthe workmen's compensation'laws of California.
OWNER T,,ti VL
ADDRESS 1.
--7S-6e Lot No. D
-
USE OF BUILDING
I Signed-...__.. .... - - P --
280-4oin
7564 Defoe Lifetime Pools
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