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, 1U33 TUSCANY PLACE
I J `A/✓ /-7 Building Permit Confirmed
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPINNG/ PERMIT
Dafe----------------------------'F--/--`F------- 19..71. Permit No.----'Z. ..C..�P.. 3
The undersigned hereby make application to the Plumbing Inspector of the City of San Jose
I for a permit to install plumbin f u s J' i verse side.
Exemption from requirem or's License is hereby claimed
by undersigned: as ner statement filed ❑//L pryO
Undersigned attests that his State of California ontracfor's License # 1 / / O
is in full force and effect and properly authorizes f♦ lica}i
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 P,Ya-/If, A tlam !�S
ADDRESS /P33 TI/SCA/v 1 Z,4c L" Lot No. l�
USE OF BUILDING
�i : ... OI�/ e.V..._..CO-t.
280-30(9-73) 79ned .............-- Y '--------...-----.-...`
, 1033 TUSCANY PLACE CROWLEY .
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