24111 1052 TUSCANY PL
TrACf 5gy/� 3 i
Building Permit Confirmed A'
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date----------------------.....---F-- D.. 19.71.. Permit No.. .r---- /
-f---------------- ----------
The undersigned hereby makes application to the Plumbing Inspector of the City of Sen Jose
for a permit to install plumbin r��� r . i th rso side.
- Exemption from raquireme �t$fe�ISF-QeffFo`riS rt�0 s License is hereby claimed
undersigned: as ner ❑ statement filed ❑/ (/
Undersigned attests that his State of California Con 55k�Li 7
is in full force and effect and properly authorizes 4hisWton/l!�
San Jose City Business License
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 l�o�rderos //0,00-s
ADDRESS �Ir�J� �nGl✓LYy/ / Lot No. 2
USE OF BUILDING TI eS/C(eyC /
280-30(9-13) SignedQ
CRUWLEY-
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