8986 7766 Oro grande Place
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL
vp PERMIT
Date. ..........12-3-.75-------------- 19...----- Permit No--------a`�g ------------------
The undersigned herebyimakes application�to the Plumbing Inspector of the City of San Jose
for a permit to install thernechenical work lined on the reverse side.
u4 o��' r r �� old'-/i
Exemption from requireman}Ofor State of Celifornialor Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑
Undersigned attests that his State of California Contractor's License # 11 Q828_
is in full force and effect and properly authorix'eys/y}h�is appltio�ie^��
San Jose City Business License # rd lV 46,00 69�I
I certify that in the performance.of the work for which this permit is iisued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER Ponderosa Homes
ADDRESS
7756 Orogrande Pl. Lot Nos
USE OF BUILDING Res.
ShN CARLOS Sf?'cL7 Mr_TnAL VJOSig4eId+GQ,.5-, 1Y..-------�,�s� �*"v
280-20 (6.73) 779 OLD COUNTY ROAD
7756 Oit' @r'bnae-AP1kaCd1% san Carlos s/m
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