13332 (2) 7610 ELDERWOOD CT
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
1_20_77
Date.......... .......................... .............. 19---.._. Permit No.----..4-'3-53......Z........
The
Tha undersigned hereby kes applicafiyn to the.P1 b' Inspector of the City of Sen Jose
for a permit }o ins}all 1ha e c d n e a side.
Examp}ion from req it � o �rrfa' Contractor's License is hereby claimed
by undersigned: s owner'❑ statement filed ❑
Undersigned attests that his S}afe7g4 9lsfornia 9n}rec o s Lica sa # 110828
is in full force end effect end prOpgAy/ oriaes JS'y ,- }i
San Jose City Business License i �� ✓ d
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. Homes
7610 Eldezwood Ct. Lot No. 10
ADDRESS
USE OF BUILDING Res.
SAN CARLOS SHEET ME146 War•Siynb2l �GY '�""""""'--- �ywekN
779 OLD COUWLY RPAQ
SAN CARLOS, CAsl jF(?A.ti!>a 280-404n
7610 ELDERWOOD CT SAN CARLOS
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