32897 (2) 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 .
o v n E f E f o 7C r W EE E
o — 7. ry ° o o ° ° T ° ° °
N
V
�m
m
W a W D W D W a stn G1 � y 3 "n :3E stn -1 to
<' N m �• A m rt p A m
3 ° r •. y
6 d1 y OD ,-1 ~ •p N v v O -n Z
o y N m 0 o, p m N C k D
ZIE
D T ' o m 1 D D
-' v r T LOIN T mn 0 0 0 mm3
'� T R A m N M A '� T ° A, ry ° RI y Z
to m N m Otanm j m. A o v
m
v m a z