8285 7774 Orogrande Place
Building Permit Confirmed ❑
-- - :— Not Required ❑
CITY-O.R. SAN JOSE -==- —_ 4�BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL
-pPEDRMIT-_
Date.. 12-3-75 _...-......- 19 - . Permit No.-- Q. S .........
The undersigned hereby/,makeseapplication to }he.Plumbing Inspector of the City of San Jose
for a permit to install hthe4�il�yn� hi 911 'te j,, fh e"Itr / de.
Exemption from requirement for S}ate of-California for�Contracior's License is hereby claimed
by undersigned: U as owner ❑ statement filed ❑
Undersigned attests that his State of California Contractor's License # 110828
is in full force and effect and properly authorizes }hiss'appliication.�j n��
San Jose City Business License # 4600069 d1'Idrl
Icertify 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 .folate the workmen's compensation laws of California.
OWNER Ponderosa Hames
ADDRESS
7774 Orogrande Pl. Lot Not.
USE OF'BUILDING Res.
SAN CARLOS SHEET METAL WORKS, l-", _.. „�,� t
280-20 (6-
ne --- - ------
77 779 OLD COUNTY ROADS 5d ------
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�AN CARLOS CAUFOni3Vs
7774 Oro Grande Place san Carlos s/m
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