15552 (2) 1670 JAMES TOWN DR
Building Permit Confirmed]
Not Required
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ECHANICAL PERMIT
Date......... . ..._..... .. >�3.. 19.7..7 Permit No...__`.5- .L�p/......_...
The undersigned h reby}makesaa Rplicafion to IhehPluie Bing Inspector of the City of Sen Jose
for a permit to install fhe/macfia`iea1 weorrli lifted on +he reverse +ida.
Exemption from raqulilrXec fortSfa e} ldf CeliforAnie�or Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑ y
Undersigned attests that his Stale of California Contractor's License
is in full force and effect and properly_ ulhorires/nthis Aapplication.
San Jose City Business License% /
1 certify that in the performance of the work for which flits permit is issued I shell not employ
any person in any mann r so as to viola the workmen's compensation laws of California.
OWNER
ADDRESS /t ��e �� Lot No.
USE OF BUILDING �� J
ij�,e d:
r./ �7r--cam
1670 JAMES TOWN DR ENVIORMENT SYSTEMS, INC 280-404n
Type of B.T.U. Remarks (Check V)
Appliance No• Input New Replace Relocate
Gas Ranges
Wall Heaters
Boilers (Steam(
Boilers (Water(
Blower Furnaces
Suspended Units
Clothes Dryers
FEES
Appliance Fee
I Flues/Vents Fee
Flue/Vent Hood/Ducts Fee
Hood/Duct Gas Piping Fee
Condensate Drain Cond. Drain
Permit Fee
TOTAL FEE
INSPECTION RECORD
Ducts Underfloor
Ducts Complete
Flues in Wall
Flues Complete
Appliances/Misc.
No. Gas Lines Outlets Size
Tested and Approved