12226 1024 TUSCANY PL. '
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date.... -....2.-27.-76-- ...--------.... 19...._.. Permit No.-----� ZZZ�o ................................
The undersigned hereby makes application to the Plumbing Inspector of the City of San Jose
for a permit to install the mechanical work-Osfed onn th reverse side
Exemption from requirerrmenflor�S pf�rc liforni5 for�ConfrectQr's License is hereby claimed
by undersigned: as opfier ❑ statement filed ❑
Undersigned attests that his�Sfate of California Contractor's License #�J
is in full force and Business
and properly authorises ihis�a pplC A7 ()
San Jose City Business License # Z 47 OR61
ew
I certify 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 violate the workmen's compensation laws of California.
OWNER Pond. lfomes
ADDRESS
1024 Tuscany Pl. Lot No. 7
USE OF BUILDING
SAN CARLOS SHEET METAL WOfS;4ndd ..
779 OLD COUNTY ROAD
2B0-20 ('-'&N CARLOS CH INIA
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1024 TUSCANY bL. SAN CARLOS SHEET METAL
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