31213 1165S
COT D DR ,
'�' Building Permit Confirmed ❑ .u'7
Not Required .❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date----------::::..::9%30/77..._"-......... 19........ Permit No...._...3.�7.�.?�- -- ..._............
The undersigned hereby make pplica}ion to he P tubing Inspector of the City of San Jose
for a permit
to
ins}ell plumbing is r to n th r r side.
Exemption from requireme rnia C n a icense is hereby claimed
by undersigned: as own ❑ statement filed ❑
Undersigned attests that his State of California Contiacfor's License # 234281
is in full force and effect and properly authorizesyfpFfcation. .
San Jose City Business License # /�/ 3
I certify that in the performance of the work or Wich this permit is issued swl t employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER George F Crowe
ADDRESS 1165 Scotland Dr. Lot No.
USE OF BUILDING Residence
Signed ------......----.SOFTMSTFR,...InC....................
280-401n
1165 SCOTLAND DR SORTMASTER INC
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