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17724 (2) 7732'. OBSIDIAN CT. '
Building Permit Confirmed ❑
Not Required ❑
- CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date---------'- - -�1--e-�-----'------------------ 197J--. Permit No.-- --7-`-- --------------
The undersigned h rebyafna�k,3�ep lic-�on�'th�P1u—!,hbf(n Ins-ecfor of the City of San Jose
for a permit to installSplurLbin'gpft l�ndJor.pipgs Ijsfeed opsf�e reverse side.
Exemption from requirement or State of California for Contractor's License is hereby claimed
by undersigned: as owner ❑, statement filed ❑
Undersigned attests that his State of California onfra tor's License #� 17/.Q7
is in full force and effect and properly auilioriies`this epgS.I —
San Jose City Business License # �' 's^— �%b2l�'! �
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any manner az fo violate the workmenn''s�compensation laws of California.
. .OWNER
ADDRESS 7r7Z © Lot No. )O
USE OF BUILDING
280-30(9-73) 1 Signed.......L �""'^"� LD'�--� '-----
7732 OBSIDIAN CT. CENTRAL SERVICE
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