12225 7623 ELDERWOOD CT.
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL kPERMIy
9-27-76 ,
Date------------..- 19----.... Permit No...---C...---�----�'-----...............
The undersigned heteby makes application to the Plumf>ing Inspector of the City of San Jos\
for a permit 4o ins4al h �e ca.w rk II ed on-t rev rse side,
Exemption from eii.int f R� Ial''o a`ior Contractor's License is hereby claimed
by undersigned: / as owner `-1 0, foment filed ❑
Undersigned a}tech that his State ofrEafi'gr`nia CffAfr,,p Liycnie-i+r
is in full force and effect and properly au} . n ,thy klic t'o L�
San Jose City Business License # �'� nno
I certify that in the performance of he work for which }his permit is issued I shall not employ .
any person in any manner so as to viola}e the workmen's compensation laws of California.
OWNER Pond
ADDRESS
7623 Elderwood Ct Lot No. }$
USE OVBUILDING Res.
C. _.,,1 - v!'-i----- .-------------
SAN CARLOS SHEET METAL ��'txg�;�1NC;-�"""""""""--
280-20 (9-73) 779 OLD COUNTY ROAD
7623zELDERW00DICT:'^M SAN CARLOS SHEET METAL
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