13333 (2) 1052 TUSCANY PL
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date..........1-20-77..._.................. 19-....... Permit No.....-.../-3 33-3------
The undersigned hereby makes application to the Plumbing Inspector of the City of San Jose
for a permit to install the mechanical work listed on the reverse side.
Exemption from requiremenYfor State of California for Contractor's License is hereby claimed
by undersigned: s o n? i Y�7/ famenf filed ❑
Undersigned attests that his $t f�Celiforn is Cab rbctor'i License # 7l OA9F;
is in full force and effect and prdperly authorizes this app��00861
San Jose City Business License # 4
I certify that in the performance of the work fo/r yr ich•th is y7. i ,i�su'lid I shal not employ
any person in any manner so as to violate the workman s compensation laws of California.
OWNER
Pond. Homes
ADDRESS 1052 Tuscany P1. Lot No. 2
USE OF BUILDING Res.
Signed. .------
SAN CARLOS SHEET METAL WORKS, oic. '
779 OLD COUNTY ROAD 280-404n
1052 TUSCANY PL SAN CARLOS, CALIFORNIA GAN CARLOS
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