24110 7612
7{ 415} yRW00D CT 3
Building Permit Confirmed��/
Not Required .❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
- - o
Date-------------- ------
---------Q..-JD_ 19.745.' Permit No.---- --------------------
The undersigned herwby,makes application to the Plumhin Inspector of the City of San Jose
Fore permit }o ins} pl fi ur oi—��°s' e o the reverse side.
Exemption fro 'r or f�ae K o onfracfor's License is hereby claimed
Isy undersigned: / as owner ❑ statamenf filed ❑ // cl/ 79_
Undersigned attests that his Sfaf of California Contractor's License # ((J/> < / O
is in full force and effect and proper u orixes A' p 'c
San
San Jose City Business License /U/// / /
I certify that in the performance of the work for which this perm} is issued I shall not employ
any person in any Tanner so as to violate the workmen's compensation'laws of California.
OWNER /0,11de s�
ADDRESS p Lot' No.
USE OF BUILDING
Signed-:-CI�I/7�GE �.. -----------
280.30(9-73) • . � i -----....---...---�--.. ..
7612 .ELDERWOOD CT CROWLEY
c o 0 � E --I IE DC D O T 00 `no D o c A o Too c
n xT
1
m -
N
I 0 T p O O
m
/ J O C N N
N
O
T
1 I m
m
caW9 m9 Ooa - H C) �E T Z
O p o p w 0 p H p N O
< < < ° Z 3 A N
A aTZ
o_ C1T
T O �, p p m
N -4 :IE-I m is J A C D
t, T S o 1 o r T R T T o T m m m D
N m m 0 -n AA o mm o Z
O A
v _ } v z z7L ; Z Z