24127 (2) 1059 TUSCANY PL
f5gyy Building Permit Conf rm
Not Required Ll -
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING/ and/or GAS PIPING PERMIT
Date.-------...-------.-....--8'3Q--- 19,7K Permit No..2--cr
1Z_ .................
The undersigned hereby makes application to the Plumbing Inspector of the City of San Jose
for a permit to install plumbin u s r I�IerJ/ogth erso side:
Exemption from requirem n i r r is License is hereby claimed
by undersigned: as ner ❑ statement filed ❑///pQ 0
Undersigned attests that his State of California ontractor's License # tJ(7 7 /d
is in full force and effect and properly authorizesrc p¢[rcationAW
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 to violate the workmen's compensation laws of California.
OWNER PO I��YOS Otil S
ADDRESS — Lot No. 7
USE OF BUILDING Re�����
280-30(9-73) l Signed.`,ra--W-4 x--------- .........................
i 1059;TUSCANY PL CROWLEY
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