24126 (2) y C�/EEL/D,ERWOOD CT
Tr4C c/S (K Building Permit Confirmed
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING/ and/or GAS PIPING PERMIT
Date---..---------------------------0._-3�-- 1974.- Permit No..:---sem.-F..l.--y j. ------------
Th. undars nad he m ?f-i'
pp a he l9nn s c+ar of the City of Sen Jose
fora permit to9insta j y n f e� ip��i - # e reverse side.
Exemption from quirem for t o
!Q lifornia for Contractor's License is hereby claimed
by undersigned: as owner ❑ f e t ll- ,(y//19?710CA"7
Undersigned attests that his State of Calf ' aontre
pp icf-vto ( � U( l / 7 /l3
is in full force and effect and properly auth ze ,.this app is ion.
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)o violate the workmen's compensation laws of California.
OWNER �O?/C/v�YOSfJOti1e5
ADDRESSR— Lot No. 9
USE OF BUILDING /"s� �y�� /
280-30(9-73) Signed.-_ �'OING^\ ------C��-=-----------------------
CROWLEY
.~7606 :ELDERWOOD .CT
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