90641118 Yorkshire
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION�j FOR PLUMBING and/or GAS PIPING PERMIT
Dafe -......----------------------- 19.7/-.. Permit No. - ------------- L0-0 ------------
The
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The undersigned hereby makes application to the Plumbing Inspector of the City of San Jose
for a permit to install plum �ng to I and,/�jj �pes afe� o tllge�versa side.
Exemption from requiremerrfZfFN(S+e pY.ESlifep"im fpr ' orih*we+or s License is hereby claimed
//
by undersigned: ez owner ❑
statement filed $(��3
Undersigned attests that his State of Californi Confrac}or's License
is in full force and effect and properly au} r'ys�/h'S �aPRli ti' niy /� ,yr�
San Jose City Business License # Y�L��'E/�
I certify that in the performance of the work for which this permit is issued hall not employ
any person in any manner so as to .iola}ake .workmen's compensation laws of California.
280-30
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