13597415 Plum Blossom Dry(/
I
CITY OF SAN JOSE
Building Permit Confirmed ET
Not Required ❑
BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPINGPERMITPERMIT
Date. � -�.--------------------------- 19..�U. Permit No. ..L....3-^--- ---- .(--------------- -----..
-----
Th. undersigned hgPeby splice j��jhe Plumbing Inspector of the City of Sen Jose
fora permit io install bi �� / pipe isfeil ohyreversa side.
Exemption irom re uir m f fo 5 at o California f r Contractor's License is hereby claimed
by undersigned: .1' owner ❑ statement filed ❑
Undersigned attests that his State of Califdtaig�C,onfractor's License # 12:q9 i
is in full force and effect and properly a�ut�ri �Jhis �pli�6ryf���
San Jose City Business License #'
I certify that in the performance of the work for which this permit is issued 1 shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER 62'KJAP-0 to$DgC3;(r-k
ADDRESS '741S'- /200/`9 ok% Lot No.
USE OF BUILDING
28030
S i g n e d,:jqa. -alt- l..-------------- ..
7415 Plum Blossom Drive Kembing
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