23362 7L�o 7"8 1021 TUSCANY PLACE
/LANY Building Permit Confirmed
Not Required 0
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION
ppFOR
p�PLUMBING and/or GAS
�7PIPING
/PERMIT
Date-----------------------Q... .L-C-------- 19-7( Permif No.------ --1-�-f4-2/....-------
.
The undersigned hereb makes�E]
_the Plumbing Inspector of the City of San Jose
for a permit to
install p non the reverse side.
Exemption from re� r Contractor's License is hereby claimed
by undersigned: es statement filed 0/
Undersigned attests that his State of Celifo a n}re r' i se b
is in full force and effect and properly authori s ep
San Jose City Business License �z�
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�deros� Ho.Nes S�`R
ADDRESS IOZi TdSCAi / PLsc ° Lot No.
USE OF BUILDING Aesi/deil'c£ C
280-30(9-73) Signed . oWey
----- ------------...-------...-.
1021
TUSCANY PLACE CROWLEY
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