24124 7✓flLt 1✓ ZS�/ Y PL 7
Building Permit Confirmed��
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION .FOR PLUMBING
and/or GAS /P/IP/ING PERMIT
Date....-------------------------9-7, )
- - -- 19. . Permit No.. --L--l... -------------
The undersigned hereby makes application to the Plumbing Inspector of the City of San Jose
for a permit to install plu , /4iJs}urr nd r - °s d• n verse side.
Exemption from raquiK�u' s License is hereby claimed
by undersigned: owner ❑ stu}amen} filed ❑
Undersigned attests that his State of California C ractor's License #
is in full force and effect and properly authorizes this p fio.
San Jose City Business License #
I certify that in the performance offha work for which this perm}} is issued
�shall not employ
any person in any manner so as to violate the work/men's compensation laws of California.
OWNER PO✓J/�L'YO HO,t//�s
ADDRESS Lot No.
USE OF BUILDING �/
280-30 (9-73) I Signed .. �'0. `. %---Com---------------------------
1047tTUSCANY .PL CROWLEY
pW06F to DC c a TOONo 000 � � 0 x' 00 0
o
p E
p s T A
O 1 (1 =
O O p C O N
\� N
O
1 1 1 1 \ 1 1 m
D W9 W9 ca - N GIze N ; T V! Z :e
N p N O
'p o
< 1D A ry A p iT/ ry
D
a
1 0 6 a n 0
�T c 3
� O r p �1 m " T m `° 3m -n -n D
T O G'1 T y �1 O y m N p Z
Q Y N m vii N m O D ."O R R 0
v m D Z
C� A0 rW m1