12225 7647 ELDERWOOD CT.
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date.............9.27-7fi - 19.... — . - - -
-... Permit -No.- .... ---' -' .....
.... .....
The undersigned hereby ekes pplicafjon lo-t�lu�n� Inspector of the City of San Jose
for a permit to install th7w � wp'f{`I s�dl n�b�r>s arse side.
Exemption from requirementfor State o California for Contractor's License is hereby claimed
by undersigned: hi as owner ❑ 1/dam License -
Undersigned attests that his State of California Contractor
is in full force and effect and properly authorizes this application.
San Jose City Business License # 47-00861
I certify that in theperformance of the work for which this permit is issued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER Pond Homes
ADDRESS
7647 Elderwood Ct. Lot No. 18
USE OF'BUILDING
res.
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