10248 7570 Erin 9
Building Permit Confirmed ❑
Not Required -8—
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING/ and/or GAS PIPING PERMIT
Date---------------------._7_— ��" 197r... Permit No..........lOE
Afl ---.. .............
The undersigned her rp�s�f ;i o h��P14m Ag?lnspecfor of the City of San Jose
for a permit to install p�m tfi r ip�e(({�id��e����n the reverse side.
Exemption from requirement or State of California for Contractor's License is hereby claimed
by undersigned: as ner �/��J ffa a n} filed ❑-212.37 C36
Undersigned attests that his Stare
_C
Undersigned lcense #
is in full force and effect and properfy �orixes this applica+ n. yS—_i/ / r/
San Jose City Business License # F� T
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 IJ � y�ELS , T
ADDRESS -7,-70 Lot No.
USE OF BUILDING leE S
Signed .c ��.P�f -------------------
280-30
-- ---- -✓28030
7570 Erin ace
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