31763 (2) 1328 PRIMROSE WAY
G Building Permit Confirmed 8'^
Not Required Cl
CITY OF SAN JOSE / BUILDING DEPARTMENT
APPLICATION FOR
// PLUMBING and/or GAS PIPING PERMIT
Date..............-------.._......-//7-/--,719---7?Permit No. `?1�
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The undersigned hereby makes application to the Plumbing Inspector of the City of San Jose
fora permit to install plum bing' X451.4 /o�pippesol; to A reverse side.
Exemption from requirement�fror State sit California or Con}recfor's License is hereby claimed
by undersigned: v /a's owner ❑ statement filed.❑
Undersigned attests that, his State of}California Contractor's License # ;�yh 3 3
is in full force and effect and properly aufhorises this application: /r/...�
San Jose City Business License # 4R�� �7' �" > e
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER Sz ,2yKi'�
ADDRESS 1�98 /x;,xof aye- Lot No.
USE OF BUILDING—B,S
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280-401n
1328 PRIMROSE WAY BILLS PLBG
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