38628 7725 OAKMEADOW
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FO,R` PLU ING and/or GAS PIPING PERMIT
Date.... / -- ._..�.U------:---- 19W.. Permit No----------- --------------------- - -
The undersigned ere ma c �p�lf ti o 1�1 e.P UT�in i ttor of the City of San Jose
for a permit to Inst I ��' /Q r pipes i d o e reverse side.
gf W- lxm
Exemption From quiromi ,./for Sta o elite ni i r Con#rector's License is hereby claimed
by undersigned: Y as owner ❑ statement filed ❑
Undersigned attests that his Slate ofHfornia Contractor's License # Z
3-7
is in full force and effect and properly aui I aath— pp i iO
San Jose City Business License # T
I certify that in the performance of fhe'worl for whicP This permit is issued I shell not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER
ADDRESS Lot No.
USE OF BUILDING
Signed - fd .... :.... = - ....
• 280-401n •,
7725 OAKMEADOW ACE
c °WOiF --4 AE
D C o 2 T 00 �nc o :EO A o T M I 0
I1 1 - -' O fp �' J 'o O y J N N N O
r p N a m
N
T3n
WD W col v co D T fn G1 E �n. .T . -1 fn
y - 9 O C N O 0 ° H• N O p N O N ` ° N
< A J N A O m A N
° 3 r
dT iA dTio m -1 » v NO G � J SCT f Z
y N fl �• A C % D E
�p - T -1 D TJ m H c' -1 D
1
N' T m C T o A A p m m o =
° N
on H N m
A m CO p N p A p D
m — —
m v m Y z
m