23362 (2) 4o7 7// 1024 TUSCANY PLACE
PLAN 7 Building Permit Confirmed$
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS
� PIIPING/ PERMIT
Date-------------------`-C..-/./---------------- 19. 0. Permit No....lr.1..>/--fU--.7---------
The undersigned hereby mak applic n to he,�ugsl jpg/fns§.trctor of the City of San Jose
for a permit fo install plumbic �i i 'lyf�d(.�i[-tt(e reverse side.
Exemption from requirement for to of California for Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑ 998
Undersigned attests that his State of California Cnt ors l
is in full force and effect and properly authorizes thistioo!/ !l
San Jose City Business License # 7
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 RowlerO5// iiiii S- 3 5—
ADDRESS lQ"y 71 -15e
"i Lot No. 7
USE OF BUILDING Tj�Sir �e/-,-Ce
Signed
d.CYOWLe C� - -
--------------- ---- .....-------
280-3019-73) 9 ----"/-----""
1024 TUSCANY PLACE CROWLEY_
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