14768 20 96 C166
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS'/PIPI'NG�)PERMIT
Da#e.------- '------Z-- ..---------.... 19�� Permi# No.--L'...C....;--15---------------------
The undersi hereb sa s lic f u bing Inspatfor of /he City of San Jose
for a permit + ins plY%Fd� d on the reverse side.
Esampiio f or a Celif is for Contractor's License is hereby claimed
by undersigns as owner ❑ statement filed e�'
Undersigned attest, that his Nfe aliforni on c Lic
is in full force and affect and p p horixes licnW _
San Jose City Business Lic
I certify that in the performance of the work for which this permit is issued I shall not employ
any person ina eny a er.s a }o rio
OWNER '^ to the workmen's compensation laws of California.'
[D7 �02(brPM7./t➢lK
ADDRESS �D f �A "'� Lot No.
USE OF BUILDING
280-30(9-73) 9
Si ned.. --------------
I
--- -= -- -_ ...
����/9CtfIE oNiIcC- O�rtin
20596 Cleo Apache Underarnnr,ra
c WOE F 10 DC a = m 0 Ono 0 o a 7[ o T M E f
T ] 0
D N N 1p
t o
.m -.N N C N N N m 'iIY
(A N ] S O N N N m
A ] t N
N
IZ
O
T
m
m
Do D W D W D W D -0 93inri-
m
],n
z IE 1 v� � v+
9 9
9 9 S R C O O H O H O H
m
r
T o m Q -
N n m
_. O r - m T N m m 3 m T ; 1 T 3;a m m R m T 0 T G .T mm y m m 0 =
T N N m D m
m cp m o_ 1jn o_ p n
1 V m n z
V O N Z
1 O
m