24128 17?4,WRWOOD CT y
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Building Permit Confirmad�❑'
Not Required < ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
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Date--...-------------------`- QQ_---- . .30. 19.7 Permit No..f�L...�- - ------------
The
.- " `The undersigned her make a plication to the PI ing Inspector of the City of San Jose
for a permit to install lu } A on the ravers. side.
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Exemption from for atefni Contractor's License is hereby claimed
by undersigned: es owner ❑ statement filed ❑/
Undersigned attests that his State o Hornf'.]C ntracto,'s Licensa
is in full force and effect and properly -F
a
San Jose City Business License
I certify that in the performance of the work for which this,permifi� s issued I shall not employ
any person in any manner so as to violate the worrkk/men's compensation laws of California.
OWNER //yy/O/Ylie'i-os p176, eL15
kADDRESS /' /�// ^ �[JR/ Lot No.
USE OF BUILDING 8es/cl
280-30(9-73) Signed .. lrO.lA/G eY..... -------------------------
7604 :ELDERWOOD CT CROWLEY t
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