12405 (2) 7661 Erin Way
Building Permit Confirmed ❑
Not Required ' —Et---
CITY OF SAN 'JOSE BUILDING. DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date ---------------------- /-`_Z r --- 192Y. Permit No........... . -- ......
The undersigned hereby makes application to the Plumbing Inspector of the City of San Jose
fora permit to install uf^�ippqq//,�sR s / z on the reverse side.
Exemption from r uii'Emesff/C615T' i r Contractor's License is hereby claimed /
by undersigned: (//(((////// as owner ❑ statement filed ❑ Z3-7 C36
Undersigned attests that his State of Cali ,a�Cont s�y'.����L �
is in full force and effect and properly authonz this a pli tfah!
San Jose City Business License #
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 �519LL I'C,
ADDRESS 76 6 ff-/? fN lt/ Y Lot No.
USE OF BUILDING 2 E,
Signed �� y /
280-3019-731' - --------• c.c.(-
,661 Erin Way Ace
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