31989 1063 TUSCANY PL
. Building Permit Confirmed
Not Required r
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
`per/,c
Date-------lay ',--1'-1 -........ ... 19------- Permit No----- 1. 1 D _L.------------------
The undersigned hereby makes application to the Plumbing Inspector of the City of San Jose
for a permit to install plumbing fixtures and/or,pipes listed on the reverse side.
Exemption from require nt f f o C or io f r C n r for's License is hereby claimed -
by undersigned: � dement filed ❑
Undersigned attests that ' State of California Contractors License #
is in full force and effect and properly authorizes this lic tion. !!�
San Jose City Business License #
I certify that in the performance of the work for +O 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 brucG fs L.ykctv�w wt1\w �S
ADDRESS 10(03 T"SCG^^ P�G��i Sa 3-W� Lot No.
USE OF BUILDING
Signed` - - - ...
280-401n
1063 TUSCANY PL OWNER
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