12226 1021 TUSCANY PL.
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date--------------9-27-76..-.--.----- ...---- 19-------- Permit No.-.-.�..Z'2i-Zp.--...----.-.......-.
The undersigned hereby makes,application to the Plumbing Inspector of the City of San Jose
fore permit to install the mach �ork'lis�d sn7the/r67 r3.Js j�
Exemption from requirement for St a of Cdliforriia fer-Contractors License is hereby claimed
by undersigned: as ow4er ❑ statement filed ❑
Undersigned attests that his State of California Contractor's License # 110828
is in full force and affect and properly auihori 'this appl�cat!on �
San Jose City Business License /
I certify the} 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 Pond.
ADDRESS 1021 Tuscany P1. Lot No. 8
USE OF BUILDING �.c���4
3AN CARLOS SHEET METAL Res.
779 OLG COUNTY ROAD e2I`NC,------...------------------------------.----------- ------------
280-20 (9-73tAN CARLOS, CALIFORNIA
. 1021- TUSCANY PL, SAN CART 0-(; SHFFT MF=TAI
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