4582 7410 Heatherwood
Building Permit Confirmed ❑
Not Required [ —�
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date--------------- _/L'z/-------`s------ 147X" Permit No. ---------�6B2---------------------
The undersigned he y makes pl'ca to yl mbinspecfer of the City of San Jose
for a permit to instal h c �c a on s side.
Exemption from e e or a e o alif rma or'Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑
Undersigned a}tesfs that his Stat of California Contractor's License #,221; 2
is in full force and effect and pro rlsas }his I' e/t/ .1�
San Jose City Business License I
I certify that in the performance of the work for which this permit4i issued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER n/_c
ADDRESS I?'5I10 - �T/lEewDao �� Lot No.
USE OF BUILDING
, 4 4¢
Signe
280-20 (6-73)
r)4in Heatherwood griffin
Type of B.T.U. Remarks (Check V)
Appliance No. Input New Replace Relocate
Gas Ranges
Wall Heaters
Boilers (Steam(
Boilers (Wafer(
Blower Furnaces
Suspended Units
Clothes Dryers
FEES
Appliance Fee a, O'D
misc. Flues/Venfs Fee
Flue/Vent Hood/Ducts Fee
Hood/Duct Gas Piping Fee
Condensate Drain Cord. Drain
L $1 Permit Fee
TOTAL FEE . 6
INSPECTION RECORD
Ducts Underfloor
Ducts Complete
Flues in Wall
Flues Complete
Appliances/Misc. —7—/t7- ,7kZ
No. Gas Lines Outlets C;Z- Size �L
Tested and Approved 7— 0 - 7�1 Y^4m-4C.-