23366 Lot 2/ 7636 ELdERW00D CT
Pla v //N
Building Permit Confirmed-
0-Not Required ❑'
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date--------------------------.._._------17 19-76 Permit No.----- -J. ---C CV/............
The undersigned hereby��}� �s a N do t thej/JP•ljumbi 9 Inspector of the City of San Jose
for a permit }o ins#all plu� /orf 7e�ron the reverse side.
Exemption.from requir �e`nff � r Stat o Miss n or Con#rac}or's License is hereby claimed
by undersigned: s owner ❑ statement filed ❑
Undersigned attests that his State of Cali 'Ca I
I hi ((J T O
is in full force and effect and properly au}ho i his e
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 so as to violate the workmen's compensation laws of California. /
OWNER Folvvlere f1 110 1e15 e X3
ADDRESS 7636 FZd&rWV,9a1 Lot No. 21
1 USE OF BUILDING Rz'S/d 4rYC
280-30(9-73) Signed---�rOly� y_ 0-------------------------------
7636 ELDERWOOD CT CROWLEY
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