29170 063 USCAWY -L
Building Permit Confirmed fl
Not Required
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPINGP�EjRMIT
5/31/77... 19---.-... Permit No...._. . 1/-`.(/
Date...- - - .... - -' ... - _...........
The undersigned hereby makes application to the Plumbing Inspector of the City of San Jose
for a permit to install plumbing fixtures and/or pipes listed on the reverse side.
Exemption from requirem for Staf of California fol Contractor's License is hereby claimed
by undersigned: a e ani filed ❑ 234281
Undersigned attests ih is e o dor i vac or moose
is in full force and effect and pro Orly authorizes this application. 4_12379
San Jose City Business License # � ',a
I certify that in the performance of 1ha work for whi rmit ' plSin,Q�g p y
any person in any manner so as to violate the workme s self I w o s(�r�f'a.
OWNER_BrzzCp a "' " "^mc
ADDRESS 1063 Tuscany Pl Lot No.
USE OF BUILDING Residence
SoFTMASTER, Inc.
Signed __-_..------._..._----------.- ------- - --....
280-4oin.
1063 TUSCANY PL SOFTMASTER
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