23369 Lot X18 ELDERWOOD COURT
13q✓ 7
Building Permit Confirmad _
Not Required . �❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or,GAS PIPIIN/G' PERMIT
Date..----------------`— ------- -/(�--.-- 19.7 Permit No.---. .. -J--(17.--
The undersigned hereb"makes application to the Plumbin nspec+or of the City of San Jose
fora permit +o install 1 /�q/( J,(/ or p hi the reverse side.
Exemption from regpdir6r5eiH" r SM o lifdrnidffr Gon+rador's License is hereby claimed
by undersigned: as owner 0 s+ntement filed 0///
Undersigned attests that his State of California,Tin+rac+or's License�/./#� 00 57F?
is in full force and effect and properly authorizes } is i f*o /(// xY/(/R iz ly
San Jose City Business License # Yl`7f
I certify that in the performance of the work for which } is permit is issued shall not employ
any parson in any manner so as to violate the vorkmee�nn'['s compensation laws of California.
OWNER lO.1/�eYOSA jJO.yl>L°S f3
ADDRESS 7618 Floerwaad �oUY/ Lot No. 2�/
USE OF BUILDING ,u ey« /
280-30 (9-73) 1 Signed.. /A WL.E' . .. ...........................
7618 ELDERWOOD CROWLEY
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