342788045 RAINBOW''
Building Permit Confirmed�fff--
No} Required ' ❑
CITY OF SAN JOSE BUILDING -DEPARTMENT
APPLICATION FOR PLUMBINGI /and/or GAS PIPING(/PERMIT
Date ............. .................... 19.wPermi+ No....-zJJ---------------
The undersigned hereby akes ap at' n t ih PI bing Ins actor of }he City of San Jose
for a permit to install plu t s i£ reverse side..
Exemption from requ� at o Cali or , or C Factor's License is hereby claimed
by undersigned: owner ❑ statement filed ❑
Undersigned attests that his State of Calif or 'a o fors 6y g.k
is in full force and effect and properly aut�ioe cCyj/!�S;e'/'�
San Jose City Business License # //•�L•
1 certify that in the performance of the work for which this permit is iss4ed 11 shall employ
any person in any manner so as to violate the workmen's compensation laws lifprgi
OWNER _R e�-N )114k-2 fN
-ADDRESS 80A�,— Pf" E!�oW Lot No.
USE OF BUILDING: N L.Cr
Signed ... °-^ c -
-- ' 280-401n
8045•RAINBOW . C. D. CONST ;
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