326097874 R6indeii ,Way —/
Building Permit Confirmed LSI
Not Required ' ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date ` %------------------lo--------------- 19.78. Permit No --------3- v. .................
The undersigned hereb' a es ap do }o Plu i Inspe r of the de City of San Jose
fora permit }o ins}all p bi s s I' ed rev rse side.
Exemption from re ,r 9 ate ali , f n a s License is hereby claimed
by undersigned: ' owner ❑ - statement filed ❑
Undersigned attests that his State of California Contractor's License # 7°1937�
is in full force and effect and properly au t s ' ppliceti
San Jose City Business License # y -y1f G
I certify that in the performance of } work for which this permit is issued I sKali not employ
any person in any manner / so as to violate the workmen's compensation laws of California.
J
OWNER oh,d SZ- IZ 1411
ADDRESS Lot No. ;
USE OF BUILDING Z/Alzzc
Signed - ... �--� ..............
Cm.uS7,,
28o -401n
7874 Robindell Way Potter, Const w , ; k I
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