12226 1025 TUSCANY PL. '
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
9-27-7.6.... ----------- 19-----. Permit No..... ...
Date.................. -----------------------....
The undersigned hereby makes application to the Plumbing Inspector of the City of San Jose
fora permit to install the mach icaS ware�e4ion/ib�e a�li j
Exemption from ra uirement or ate 6,Cal;forme ffr%Contraetor's License is Hereby claimed
by undersigned: as owner ❑ statement filed ❑
Undersigned attests that his State of California Con}racf3r. csirise Q 28
is in full force and effect and properly authorizes }hiyplicccaationf"f",
San Jose City Business License #
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 pnncl Timm.
ADDRESS '
1025 Tuscan' 21 Lot No.
USE OF 'BUILDING Res.
Snr* CARLn9 ';HC-ET METAL WOR%d ---------
---- " ....
280-20 (9-73)75' ht.� COLRJTY ROAD
isddzGfi�...t%
SAN Ch,,LoS. CALIP0k1NIA
1025 TUSCANY PL. SAN CARLOS SHEET METAL
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