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Building Permit Confirmed-CJ
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
.30Da#e..............-'---------'--8----------........... 19.71< Permit
.. ..-.....
The
undersigned hereby makes application to the Plumbing Inspector of the City of San Jose
for a permit to install plum n ix r n or ' es ' d n f averse side.
Exemption from requiremen of o e or's License is hereby claimed
by undersigned: a owner statement filed El //6998
Undersigned attests that his State of California Contractor's L;cerise ## l
is in full force and effect and properly authorizes
San Jose City Business License #—
I
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 workkmen's compensation laws of California.
OWNER /Dye
ADDRESS ��ij�l�S / ?�� Lot No. 3
USE OF BUILDING / f eS�G7�R/C��' /
280-30 (9-73) Signed -.;✓..rQG (/..--- Q--
/Q JJ , 100.TUSCANY PL CROWLEY
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