37017445' Plum blossom
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date ..... -----.....- ----- 191 -.-s. Permrf No- ----------------------------------'-----"--"
The undersigned hereby makey �p is lion So �9lPlumbint� slnspec}or oche City of Sen Jose
fore permit to install plumb�g�fif u�s {Les lis don r�r's eMe.
Exemption from requiremonVfor le of�Californlas�Co�cforsdsoense is hereby claimed
by undersigned: as ner ❑ sta4ament filed ❑
Undersigned attests that his State of California Contractor's License
is in full force and effect and properly aufhorizez this application`
San Jose City Business License # '.4S' 0Ato 4 /
I certify that in the performance of the work for which fY him s permit is issued I shall not employ
any person in any manner so as to violate the workmen's componsation,lawz of California.
OWNER
ADDRESS 7-4
USE OF BUILDING
280-30 (9-73)
7--'370/ 7445 Plum blossom
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