23367 (2) Lot13 7611 ELDERWOOD COURT
PCatiy Building
Permit Confirme�Q,
Not
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION
gqFOR
ppPLUMBING and/or GAS PIPING PERMIT
Date---------------------------- -------- 19.2 Permit No..Zf.. ��------------------
Th.
---- --- ------
Th. undersigned her ak ap i a 'orhhe Pumiyg Inspec}or of the City of San Jose
for a permit }o install p d r i e on the reverse side.
Exemption from r quire nt for S ale o alifornia for Contractor's License is hereby claimed
by undersigned: as owner statement filed ❑ //�pryp
Undersigned attests that his State of -G-11, p
ie S �aflon
s A / /O
is in full force and effect and properly e es 4 is DD 999
San Jose City Business License #—
I certify }hat in the performance of the work for which this permit is issued 1 shell not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER /Oi!/QC�VOSA �S �/Y 3
ADDRESS 72/,// F1Jd�eyW000/ /fOCOUY-t Lot No. /3
USE OF BUILDING /
280-30(9-73) Signed---C—ro W.��----i�-A---...-------..........--.
,7611 ,ELDERWOOD COURT CROWLEYCO.
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