23366 (2) 7617 ELDERWOOD COURT
19L41t/ IN Building Permit Confirmed-9—
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING
/PERMIT
Date..............-----........f/....... -------. 19.76 Permit No..Z._, ,,7... ..................
The undersigned h y makelicathe Plumbin Inspector of the City of San Jose
for a permit fo ins s} cl of e o }he reverse side.
Exemption fro req it f al C ifo is or onfra ctor's License is hereby claimed
by undersigned: as owner ❑ sfatemenf filed ❑/��ppp
Undersigned attests that his State o4 Cali rnia onfracfo!ID's Lic¢nse # / 7700
is in full force and effect and properly author' e f wappli/V/✓ �O
San Jose City Business License # 7
1 certify that in the performance of the work for which }his permit is issued I shall not employ
any person in any manna, so as }//o violate the workmen's compensation laws of California.
OWNER FowaeNOSA A0,0eS sir3 S^
ADDRESS 76 7 Edeewvo QVY-t- Lot No. �y
USE OF BUILDING
280-30(9-73) 1 Signed ------ -------------------------
� 1
7617 ELDERWOOD COURT CROWLEY CO.
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