29943 (2) 1021 TUSCANY ^ ��,al
� Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUM G and/or GAS PIPING PERMIT
Date----JUlY--�$----.................... 19....77Permif No.... .1..<--�"- ----------------
The undersigned hereby makes application to the Plumbing Inspector of the City of San Jose
for a permit to install plum f' }u d as VmI �n Th rse side.
Exemption from require a n ,1 s License is hereby claimed
by undersigned: as owner ❑ statement filed ❑ ,2,286,1
Undersigned attests that his State of California CcD1rector's License #
is in full force and effect and properly authorires this rApgl�ation. /y,_ �' l�
San Jose City Business License # /7e �/7—�� ��2
1 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 to violate the workmen's compensation laws of California.
OWNER Larry West
ADDRESS 1021 Tuscany Lot No.
USE OF BUILDING residence �p
leo-au r Signed — - —
1021 TUSCANY CUL'LIGAN
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