25987 (2) 1477 PRIMROSE WAy ." Building Permit Confirmed ❑
rI Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Dafe...... 19 .[�Permit No. pF
The undersigned hereby mggs a/'plSli< ion ovsjh �mkfire� sp �f rs City of San Jose -
for a permit to in plumbing fix.ura�and/or 01pes hs}erl on }he r ao4e.
Esemp}ion from requirement,for State of California for Confractor's License is hereby claimed.
by undersigned: as owner ❑ d statement filed ❑,
Undersigned attests that his Stale of Cali#ornia sContrac} �s LLJJJ'cags #
is in full force ey effect and properly eufh;-, �4K, ppli efion
' San Jose Ci} Business License �7 fG�U✓/ S
I certify that in the performance of th�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 ��3'a JYdY
ADDRESSi Lot No.
USE OF BUILDING
Signed ........ �<
280-401n
1477 PRIMROSE WAY ACE PLUMBING
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