23369 L0091 7648 r "'r)
P14A,7 ELDERWOOD CT
Building Permit Confirme,1�+9�
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING/and/or GAS PI>PINGcy PERMIT
Date..-------------------------8--�./- ----. 19. 0. Permit No.-.fry-.- J-- f-------------'-----
Tha undersigned er 6 ma�ey�e et' 3p�f a bing Inspector of the City of Sen Jose
(ora permit to in al ,I <}Qirje � r�pidssZJisled on the reverse side.
Exemption from requij ment for State of Cifornia for Contractor's License is hereby claimed
by undersigned: as owner ❑ /o& /j,ss u:e sa fjlfdj❑ 6g9p
Undersigned attests that his State of Ca Tor Conf ct O
is in full force and effect and properly authorizes this application. nO�nO
San Jose City Business License #
1 certify that in the performance of the work for which this permit is issuedI shall not employ
any person in any manner so as to violaie the workmen's compensation laws of California.
OWNER Parrderasa
ADDRESS 76yg ECdeYWood �oUY� Lot No. /
USE OF BUILDING
280-30(9-731 - Signed _6YD(!j/GG�/-----Cc..'...-......'--........_.....
7648 ELDERI"IOOD CROWLEY
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