16961 a5 STENDAHL LANE
GBuilding Permit Confirmed
Not Required
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT .
Date ��r off. _..... .. ...... 19-).5.. Permit No. ---- ........._..
The and signed hereby kes application to the Plumbing Inspector of the City of San Jose
for a permit to install pl i i ory 'to n the reverse side.
Exemption from requir men i r a on}ractor's License is hereby claimed
by undersigned: s owner ❑ statement filed
Undersigned attests That his State of Cal!for tractor se7 /
is in full force and effect and properly authorize pplic
San Jose City Business License # —���1'
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
ADDRESS 1, �/� �7Y'/7c/�7f�1 Z&) Lot No.
USE OF BUILDING to
280-30 (9-73) Signed -.Cl/.� ��J-2f...-- --/. -r-�l -------
645 QSTENDAHL LANE �L'� � � ACE PLW.
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