23369 (2) Lot/7
Pl.w7 7635 ELDERWOOD COURT
Building Permit Confirmed C-'❑
Not Required
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING// and/or GAS PIPING PERMIT
Date. 8�--9--------- 1970.. Permit No....7i... :-
The undersign hereby makes application to the tum binq Inspec}or of the City of San Jose
for a permit tons} I 2rd�C/o� i as listed on the reverse side.
Exemption fw r irem o 0 oY 1 nia for Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑ /a,?,7g
Undersigned attests that his State ofrnian ct s ic�nsa /� l O !7 Z3
is in full force and effect and properly rias is p��af ^ L� D(/999
San Jose City Business License #
1 certify that in the performance of the work for which,this permit is issued I shall not employ
d
any person in any manner so as to ole}e 4he workmen's compensa}ion laws of California.
OWNERfio
/ Povde� os� .�s ;-r3 r'
ADDRESS 70 3-�- Ezoer oOd 6-011Yf Lot No.
USE OF BUILDING
280-30(9-713)) SignedSi9 ..1. YOL1�Lef�. �0---
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763.5 ELDERWOOD COURT CROWLEY CO.
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