8786 7716 Oro Grande Place
Building Permit Confirmed [I'�
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date.... ------1.2
-- 12 -3-75 . ..... -.... 19 - Permit No..:. �t- ------------------------
The undersigned hereby makes application #oc#he'Plumbinng Inspector of the City of San Jose
for a permit to ins#ll�h�ethini�fli�o'rlroeli`d ori Vie?"^rs'Jside,
Exemption,from req uiremen} fonS{e{e of/Cal ifornia..foriConlrac{or's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑
Undersigned attests that his State of California Contractor's License #_1ID$2$
is in full force and effect and properly auihori:es}his appljce#ion. p,�
San Jose City Business License #k I,�I�� 46,'00069' )
I certify that in the performance of'the work for which this permitt-isO issued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER Pondemosa Homes
ADDRESS 7716 Orogr^nde Pl. Lot No.14
USE OF BUILDING
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,AN CAkL05 SH4EY M�aA6 W�PhSi91�e`� ----- -------------------------------
280-20 Ib-77x179 OLD i:OUNT,? ft94
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