12225 7636 ELDERWOOD CT.
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL. PERMIT--
9-27-76
ERMIT9-27-76 f li
Date-------------------------------..-- - . 19... Permit No.-------- - ......- -'- - ..........
The undersigned hereby mekQs- pp�i<efion.to 4h��umli)ng Inspector of the City of San Jose
for a permit to in irel(i-gfO{nic l's �)fad�6e�ih�Levarse side,
Exemption from reoiireemmeVrrr4/`for S4ata of C�alifornia for Contra c}or's License is hereby claimed
by undersigned: as owner ❑ / )� statement filed.[-I
Undersigned attests that his State of Califorrni)a-Conirp�ou�s2�i�cense� l
is in full force and effect and properly authorises INis application.
San Jose City Business License # 47 004h�
I certify that in the performance of the work for which This perms} is issued I shall not employ
any person in any manner so as to violate the workman's compensation laws of California.
Pond. ,
OWNER
ADDRESS 7636 Elderivood Ct. Lot No. 21
USE OF BUILDING
Res.
Oe.i+ CARLOS SHEETMET ,L WO a•
774 OLD COU 'ROA "'-- -
280-20(9-73) SAN CARLOS, CALIFORNIA
7636. ELDERWOOD CT. SAN CARLOS SHEET METAL
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