23367 Lol-3 7624 ELDERWOOD CT
PIAy Building Permit Confirm�—
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date --------------------------- 19_7 Permit No. -' --.�1;.. .........
-
The undersigned hereby makes application to the Plumbing Inspector of the City of San Jose
for a permit to instal p steel on the reverse side.
Exemption from m 'ntf' GamV. forContractor's License is hereby claimed
by undersigned: as owner ❑ sia}amen! filed ❑/66998
Undersigned attests that his State o Ifornie o r i ee #
is in full force and effect and properly ori:ex 9- W i .' D.57F9
San Jose City Business License # (/
I certify that in the performance of the work for which this-permit is issued I shall not employ
any person in any manner soasto/violate the workman's compensation laws of California.
OWNER PO&2ei'OSA /To Ve-5 a -? f—
ADDRESS 712y Ezde'- ood Coyrt Lot No. Z3
USE OF BUILDING /I45%d�✓1/G� v
280-30(9-73) Signed.CCo '.1� ---- --
7624 ELDERWOOD CT CROWLEY
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