23368 Lot2270())ELDERWOOD COURT
'PlAN✓rBuilding Permit Confirmea'Q-
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date------------------------------- 19_7112. Permit No... . .. :.C3
The undersigned hereby ke pp t' n t Plumbi R Isn�sp3ctor of the City of San Jose
for a permit fo ins}all plum in ��pi s Jrfor ContC3^ reverse side.
`Exemption from requirement fo State o Ca i arms for Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑
Undersigned attests that his State of Cali nar/ or� License # �i0(J�7/ O
is in full force and effect and properly authori �¢f,.,Contis ap /¢ n. ✓ G`(ln 7
San Jose City Business License
1 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 worr/k/,men's compensation laws of California.
OWNER POHQC�YOSA /tO�/es 4-R--?ADDRESS
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ADDRESS 7630 RdeYWood Court Lot No. 22
n r /
USE OF BUILDING /'leflde"1/G�
280-30(9-73) Signed -
7630;ELDERWOOD CT CROWLEY _
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