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26868 (2) 1028 TUSCANY PLACE, Building Permit Confirmed-B� Not Required ❑ CITY OF SAN JOSE BUILDING DEPARTMENT APPLICATION FOR PLUMBING ��and/or GAS /PIPING PERMIT Dafe.. .' �- -- -- .. A4..../Permit No._ .v. �------------------------------ The undersigned hereby makes application to the Plumbing Inspector of the City of Sen Jose for a permit to install plu 7 u y�¢W�a�fl stn the rovers,, side. Exemption from requir�- yt"e of C`aliT.Fa fnb�lQj/Vontrec}or's License is hereby claimed by undersigned: as owner ❑ statemen(t�filed , Undersigned attests that his State of ie on s e is in full force and effect and properly au 1 u'�7 � �1' / 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 enner so as to violate the workman's compensation laws of California. OWNER ADDRESS of . USE OF BUILDING t Signe _.. t . ... 280�+O1n 1028 TUSCANY PLACE ANTHONY POOLS C o v T H1 ::E -DC HST v vin �Ef �EE u mr- Uw E f E a o aO � '9 O O p 1 �• � �. T 'JC Q ; C N in to tp ° O C A N o a m V ,6 " T Z 1 � T m m W D W9 W 9 W� N C, AE O v v o o N ° p O k ry ° p ry p ry' p ry \ � yD \< < A p T p m Q R , N p �• R C x D N N T p In T u A 0 m A o Z J ' v� m °N N m ° D m m �n m m A ° m y 1, m m '^ v n e H c v o A 1 — M — D c� 0