89847736 Obsidian Court
Building Permit Confirmed (iJ�
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date -- 1.�-3-7..r......-_....... 19........ Permit No..--- f�y
- --- - - - ....
The undersigned hereby%makes application, to the Plumbinga Inspectttor.of the City of San Jose
for a permit to install the m`acj nlcalpwoJ li�d7 on ih�ievaii�ida���
Exemption from ragwremen}.for Stara of Cahfornialfor66oritractor's'License is hereby claimed
by undersigned: (as owner ❑ statement filed ❑
Undersigned attests that his State of California Contractor's License # 110828
is in full force and effect and properly au`fhoriaesLfhis application. ,,n,
San Jose City Business License $'r G 46=00069f"%%/7�ii
I certify that in the performance of the woik-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 Pondernsa_Home
ADDRESS
7736 Obsidian Ct. Lot No,
USE OF BUILDING Te
CARLOS SHEET h1F.TAL WORKS, INene .. =i=Q� s -----------
SAN
d�J t-' -_ ---I-- -
280-20 36 `73)DLD COUNTY POND
773'61 Obsld an;rCourt San Carlos s/m
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