27933 7623 ELbERWO-OD-L7
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING
nand/or GAS PIPING PERMIT
edo*Date ..... .... ..... Jq..TPermit No.:---. 7f -
The undersigned heroby me s a icaf' n to)thyPlumbin pecfor of the City of San Jose
for a permit to install pIu bi'��j4r�CJ�x}ro �iy��pi a roverse side.
Exemption from requikmeniVr�teef Celifoie oConfractor's License is hereby claimed
by undersigned: as owner ❑ �etata nt fi a O 1
Undersigned-attests that his State of Calif /-o'ntr'`�YTr
is in full force and affect and proper) her
ir, a on
San Jose City Business License e
I certify that in the performance of t work for which this permit is issued I shall not employ
any person in any men or zo es to viola he workmen's compensation laws of California.
OWNER
ADDRESS-_7&wa 1
USE OF BUILDING( Y!L,J T--
Signe
r 280-14oin
7623 ELDERWOOD CT ANTHONY POOLS
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