26793 1036 :TUSCANY PL
Building Permit Confirmed
GNot Required
CITY OF SAN JOSE I BUILDING DEPARTMENT
APPLICATION FOR PLUMBIN
G and/or GAS PIPING PERMIT
19/. Permit No.----------z C7 9-z?........._.
The undersigned hereby makes application to the Plumbing Inspector of the Cify of San Jose
fore permit to install plZ o i iso the reverse side.'
&}ion from requi o li . o onlre<fonf License is hereby claimed
by undersigned: s owner ❑ s}afaman} filed ❑ r-yr�f
Undersigned attests that his.Stafeof Califor�n'Q�Co3prtprVar
icfot e s /
is in full force and effect and properly authorize
San Jose Cify Business License #
1 cerfify that in the performance of the work for which this permit is issued I shall not employ
any person in an manner so as to violate the workman's compensation laws of California.
OWNER ��``� (—)
ae�lbADDRESS USE OF BUILDIN
Signed-------------------------------- ---.`---- -- ---------------------------
280,,401n
1036. TUSCANY PL ANTHONY POOLS
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