23360 Lotti 1032 TUSCANY PLACE
1.413 Building Permit Confirmed-0— —
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date.------- 7/..._...U. ..�-y 19Permit No------y-72'-�.. --------------
The undersigned hereby makes application to the Plumbing Inspector of the City of San Jose
for a permit to, install plumb' g ix r ip,fig+� o/f�1kq reverse side.
Exemption from requir r o cfor'z License is hereby claimed
by undersigned: as wner ❑ statement filed ❑i�
Undersigned attests that his en of California n+ actor's Ly}e
is in full force anddeffect and properly authorizes ihi a}io/n/liI
San Jose City Business License #—
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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 viola+e theworkmen's compensation laws of California.
OWNER �ONder�s,9 ffo�eS S�ll ? ('
ADDRESS W 32 TUS C/J/V1/ Pz q f e Lot No.`7
USE OF BUILDING Resf dltiYc X-2
Signed.CrOW`e\------CO
280-30(9-73) ----'/ -- ----------------"------------
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