23367 Lot l8 7647 ELDERWOOD COURT
PLAN y
Building Permit Confirm
Not Required - ❑ -
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Dafe----------------------------------0 -I9._. 1976 Permit No......;��--33-� ------.-..
The undersigned ¢re y mpke i ati�^p�'q }� P �ing Inspector of the City of San Jose
for a permit +o f+ + q?/�r,p. d on the reverse side.
Exemption from raquu4 ant for State of California for Contractor's License is hereby claimed
by undersigned: as owner st m ile
Undersigned attests that his State auof i is on rec or's ice pp(J0 ! 7
is in full force and effect and properlythorizes this application.
San Jose City Business License #
1 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 jP041ael'o5 9 110A*&.5 4-ov3 f�
ADDRESS 76417 Etd erwce/d CouYt Lot No. l8
USE OF BUILDING � I eS/dPiYC/� /
280-30(9-731 Signed-6'2O wzg�v ..60 i-----'----------"-----------
7647 ELDERWOOD COURT . CROWLEY: COMPANY
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