35333 1220 YORKSHIRE DR f
I Building Permit Confirmed
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date---------Qa/--- --------------------- 19_Z. Perrnit No.... ....--------------------------
The undersigned hereby makes applied,}io�n�to the Plumbing/IInspeetor of the City of San Jose
fora perm'} fo install plumb'.f.x fSan�9or pipes phi}ed eod(the�werse side.
Exemption from requirement forjf}ate of California for Con}racfor's License is hereby claimed
by undersigned: as owner�. statement filed ❑
Undersigned attests that his State of California Contrictor,•Licersa #'
is in full force and effect and properly authorizes,this a�'c�n. /
San Jose City Business License # _
I certify that in the performance of the work for which this permit is issued I shall no
ns } a Y
any person 1n any manner so as to .iola}e the workmen's compaa}ion laws of California.
OWNER
ADDRESS Lot No.
USE OF BUILDING '213 t w 2
Signed--..... -- .. �/`�/.... - - .........
280-401n
1220 YORKSHIRE DR OWNER
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