32340 7575 Squirewood way Building Permit Confirmed ❑
_ Not Required ❑
CITY OF SAN JOSE ' BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date----- - -------....------- 19 ?- Permit No...... .......
The undersigned here a
l t Plyri�btnryfor of the City of San Jose
for a permit fo install ior as a reverse side.
Exemption From requirementie of California for Contractor's License is hereby claimed
by undersigned: er ❑ e � s4 �i��
Undersigned attests that his State
of Califo n actor'
is in full force and effect and properly authorix this pplica i
San Jose City Business License # C/ka,2?/
I certify that in the performance of the ork for which this permit is issued I shall not employ
any person in any manner so as to violet th workmen's compensation laws of California.
OWNER
ADDRESS Q� t
USE OF BUILDING
Signed .Q�41 --- - - -- ----- -------
/ 280-4oin
7575 Squirewood way Ace
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