23369 (2) Lodz 7605 ELDERWOOD COURT G
PIANBuilding
ermit Confirmgd—ff—
Not Required
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR //PLLUMBINGand/or GAS PIPING PERMIT
Date ----------- . .l.F----- 19_�O/Permif No.-------2--U-�R........_..
The undersigned her by a es�pppp is !So +6 /le in ns actor of the de City of San Jose
for a permit to install w$ e r 9+' n Foie reverse side.
Esempfion from reguiremen for State of California for Contractor's License is hereby claimed
by undersigned: as owner ❑ statomant filed ❑
Undersigned attests that his State C ornia Cot or a
is in full force and effect and proper chez this
e�� 077 7
San Jose City Business License
I certify that in the performance of the work for which this permit is issued I shell not employ
any person in any manner soasto violate the workmen's compensation laws of California.
OWNER 7� lO��eYOSft lla grg5 S'P 3 5�
ADDRESS /Iri F1nderW V Lot No. 12
USE OF BUILDING rle5/G7eyC� /
280-30(9-73 Signed ._CYO(----- O.r.------ ------
7605 ELDERWOOD COURT CROWLEY CO. ~
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