13333 1063 TUSCANY PL
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT?
1-20-77....._...---....... 19 ..... Permit No. ...........� � �-J
Date.... .....---20---- -. ....---- -
The undersigned hereby makes application to the Plumbing Inspector of the City of San Jose
fora permit to install the mec}�ersic i.ork,lisfid opOrthe�re`r�s j.
Exemption from requiren'a'nti/1 T �pf Ca11'rnie f/or Contractor's License is hereby claimed
by undersigned: s owner ❑ statement filed ❑
Undersigned attests that his State of CaliforniaCon}rector's License # 110828
is in full force and effect and properly authorises 11 his^epplica tion,
San Jose City Business License # �� 4':/J'—i7 /!/���
1 certify that in the performance of the work for which thii permit is issued I shallo'hof employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER Pond. Homes
ADDRESS 1063 Tuscany Pl Lot No. 3
USE OF BUILDING Res.
SAN CARLOS SHEET METAL WOS'nRS°�i`<e!`3'� "--...----- --... `:�.....---._..---. ------
779 OLD COUNTY ROAD
1063 TSVr1 fAYRkOL. CALIFORNIA 280-404n
SAN CARLOS
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