14205 (2) 910 FORT BAKER DRIVE
Building Permit Confirmed ❑
_ Not Required Cl
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date-------_...---.....--------.-._..4: -6..-..... 19-.77. Permit No._.. -------
The undersigned hereb ��mmekes a li54fi rlto fha,Pumbing Inspector of the City of San Jose
for a permit to install fhei(nepAgdial `k�(rstedaan�� vs side.
Exemption from requm ement;for S}ate of California for Conirec}or's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑
Undersigned attests that his Stateto�,e fornia/64dregto��cen
is in full force and effect and properly aufho'rizes this applicafion.X✓
San Jose City Business License # 4? 00808
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 Vincent Pisano
ADDRESS 910 Fort Baker Drive Lot No.
USE OF BUILDING Res; cls na _
Signed....-.- ---------------- -------------------------------- ---
910 FORT BAKER DRIVE VALLEY HEATING 280-404n
Type of jBU. RemarkV(Check
Appliance No• ut New RGas Ranges
Wall Heaters
BoilersBoilers (Wafer)
Blower Furnaces ( 'I
Suspended Units
Clothes Dryers
FEES
Appliance Fee 2, 00
misc. Flues/Vents Fee
Flue/Vent Hood/Ducts Fee
Hood/Duct Gas Piping Fee
Condensate Drain Cond. Drain
Permit Fee 2.00_
TOTAL FEE ,D
INSPECTION RECORD
Ducts Underfloor
Ducts Complete
Flues in Wall
Flues Complete
V
Appliances/Misc.
No. Gas Lines Outlets Size
Tested and Approved