23362 4o7 7// 1024 TUSCANY PLACE
PLAN 7 Building Permit Confirmed$
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS
� PIIPING/ PERMIT
Date-------------------`-C..-/./---------------- 19. 0. Permit No....lr.1..>/--fU--.7---------
The undersigned hereby mak applic n to he,�ugsl jpg/fns§.trctor of the City of San Jose
for a permit fo install plumbic �i i 'lyf�d(.�i[-tt(e reverse side.
Exemption from requirement for to of California for Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑ 998
Undersigned attests that his State of California Cnt ors l
is in full force and effect and properly authorizes thistioo!/ !l
San Jose City Business License # 7
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 RowlerO5// iiiii S- 3 5—
ADDRESS lQ"y 71 -15e
"i Lot No. 7
USE OF BUILDING Tj�Sir �e/-,-Ce
Signed
d.CYOWLe C� - -
--------------- ---- .....-------
280-3019-73) 9 ----"/-----""
1024 TUSCANY PLACE CROWLEY_
> c HST_ p p to :* f 21E E p PG r CO ao :rz IE
no �7
n IE
Soo
N \
~ O
0 --------------
0
m
WD W W9 W -V cm 0 � y3T Z 4EN c1 —{ N
V C S A C O 0 0 O M ° O H O O
< < < < H 3 0 _ 3 cY r D
°- o a n. 0 'a � Y v to p p m o S T =
A � T o m O
g n
to
A A T m 0 T o � A o T m o Z
vl �. Q o N m " " T D > n 0, cm m '� X A p
wl -
T
I