61887415 Plum Blossom Dr.
CITY OF SAN JOSE
"\ Building Permit Confirmed<
Not Required ❑
BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date --...----------------....//_-_..-d"... 197- -Permit No. -------------!//O U.. -_.....----
The undersigned hereby mak 2 �p�r y.}o�1 P:.te in� Insp c}or,o4 he City of San Jose
for a permit }o install plumbing ixfur s�a �p ip [I�is}"_Bd•on�}h��rsa side.
Exemption from requirement r $fete o{ Ca if rota or Contractors License is hereby claimed
by undersigned:, as owns ❑ statement filed ❑ t7
Undersigned, attests that his State of California Confr%for� LLce�nnsseJff/# —
is in full force and effect and properly authorises this e Pi o';Z��C
Sen Jose City Business License #
I certify that in tho performance of the work for which this permit is issued I she Brnot employ
any person in any mannor so es to violate the workmen's compensation laws of California.
OWNER /%�7GK .
ADDRESS
USE OF BUILDING
i
28030 Signed
7415 Plum Blossom DR.
No.
Lifetime Pools
a
r
' h2 I�i= 3 I.M.I� m r _Im Im I to n No m
"'�
N
mac"
<
O
0
0
0
,A
n�
S
N
S
N
S
R
T
y
F
S
ry
R
Q
Jrn��
O
f•
_
N
T
�^
T
T
T
3
T
,-a
2
m
T n
O
T
o
.T
av+
m
' h2 I�i= 3 I.M.I� m r _Im Im I to n No m
now
"'�
mac"
n
T
1
n
,A
T
R
H
1
Q
Jrn��
O
f•
_
N
T
�^
T
T
T
3
T
,-a
2
m
T n
O
T
o
.T
av+
m
now