23367 Loi'20 7642 ELDERWOOD CT
PIAN Building Permit Confirmed-Ea�
Not Required ❑.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION ,FOR PLUMBING and/or GAS PIPING PERMIT
Date------------ ----------------------- — 19.7,K Permit No.A03.6,1--------
The undersigned her a s a I' do ty } PI 'ng Inspector of the City of San Jose
for a permit fo insiel p f en y p -is d on the revers. side.
Exemption from mq ir. nt for fafe of California for Contractor's License is hereby claimed
by undersigned: as owner - statement filed ❑
Undersigned ethan his face of/ ' ornie C +�a Ca}rs � .
is in full force endd effect
ct and properly eufhorixe�this ap ¢a io
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 xlollato the workmen's compensation laws of California.
OWNER TD///Q>°YOSA �dtifPS (�
ADDRESS 76yZ �Lna�rwood Cow-7 - Lo+ No. ZQ
USE OF BUILDING /"I e57;lleVG
280-30(9-73) Signed...CYD 11!G�'�
---- --".�O ""..-...----------------
7642 ,ELDERWOOD CT CROWLEY
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