8985 (2) 7704 Oro Grande Place
Building Permit Confirmed ❑
Not Required ❑ '
CITY OF -SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PER
,IAIT
Date12-.3-.75.... ..... ... 19... --- Permit No.-- T 5----------- ----..-
The undersigned here6y�makes4pplication,t-o theAPlumb^ng Inspector of the City of San Jose,
for a permit to install o o nn. �nical wo`rrk�ilisted ��fhe�r�oor,eos��
Exemption from requirement for State�California for Contractor's Licenseis hereby claimed
by undersigned: f as owner ❑ statement filed ❑
Undersigned attests that his State of Californiaa%Confractor's License # 1IM828
is in full force and effect and properly authorizes ,,V., plica������
• San Jose City Business License # - �������nnlO
I certify that in the performance of the work for4'w'hicTi his permit is issued I'shall not employ
any person in any manner so-as to violate the workmen's compensation laws of California.
OWNER ponderosa Homes 17
ADDRESS 7704 Orogrande Pl• Lot No.
779 OLD COUNTY RO,Siggned....----------------------------------------
280-20 (b-73) SAN CAhL05, CALIFOKt,, C '
7704 Oro Grande Place San carloss/m
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