7542 50'o�� 7710 Huntriage
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Building Required
i ePermit Confirmed
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CITY OF SAN JOSE�� ; �— BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date.. .Lk- . - . 7..----.._.---- 19.75 Permit No.---------- ---7�5' .......
The undersi d hereby�rr}a 4es a plica do t�e mbi7,g/ €Cfor of the City of San Jose
fora permit to install the mac r e i s.
/f° ai ��
Exemption from requ re4ef"Yo Staia f eli nia f�r Contractor's License is hereby claimed
b undersigned: as owner � sta a ep��il �/J
y Undersigned attests that his.State of C❑alifor,�Cdrrt;r a s,/Ucens�
is in full force and effect and properly authorizes this.ePplicetion.
San Jose City Business License # �5' jtGJSJ L41'
I certify that in the performance 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 Mf-,
ADDRESS 77 i0 / �r�f��Q�4 �-i?P� Lot No.
USE OF BUILDING r,42 0/7
Signe --.._. �-- ---.-- .- . — ------------
sl
280-20 (9-73) /�Vt—�r-wi-a C-
7710 Huntridaxa Buffalow
Type of B.T.U. Remarks (Check V)
Appliance No. Input New Replace Relocate
Gas Ranges
Wall Heaters
Boilers (Sfeam)
Boilers )Wafer)
Blower Furnaces % 67.00 1h
Suspended Unifs
Clothes Dryers
r✓ i .DO x
FEES
Appliance Fee B
Flues/Venfs Fee
Flue/Vent Hood/Ducts Fee
Hood/Duct Gas Piping Fee
Condensafe Drain d Cenci. Drain
Permit Fee
TOTAL FEE ,(�
INSPECTION RECORD
Ducts Underfloor
Ducts Complete
Flues in Wall
Flues Complete
Appliances/Misc.
No. Gas Lines Outlets Size
Tested and Approved