17895 1614 JAMES TOWN DR
Building Permit Confirmed ❑
C? Not Required
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
.7s-9�
Date -- --------- M....-ay- ..Zs ...... -- 78 .... 19_..._. Permit No........ .../. - _..-.. ..
The undersigned hereby makes application to the Plumbing Inspector of the City of San Jose
for a permit to install the m a �cii r I' a f re
Exemption from r.quires"4ef" t �tar's License is hereby claimed
by undersigned: as ner ❑ statement filed ❑ 258540
Undersigned attests that his S}a a of California Contractor's License
is in full force and effect and prop r �Ma orixe hi app alio
San Jose City Business License �� �
I certify that in the performance of the work for which this pe mit is issued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER Vaughn Patterson
ADDRESS 1614 James Town Drive Lot No.
USE OF BUILDING Residence �� � }-
Signed. Q,— - !A. 9-0-t
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U 24n
1Fi14 ,IAMFS TOWN DR VALLEY HTG
Type of B.T.U. Remarks (Check V)
Appliance No• Inpuf New Replace Relocat
Gas Ranges
Wall Heaters
Boilers (Steam)
Boilers (Water)
Blower Furnaces
Suspended Units
Clothes Dryers
FEES
Appliance Fee
Flues/Vents Fee
Flue/Ven+ Hood/Ducts Fee
Hood/Duct Gas Piping Fee
Condensate Drain _ Cond. Drain O
Permit Fee
TOTAL FEE
INSPECTION RECORD
Ducts Underfloor
Ducts .Complete
Flues in Wall
Flues Complefe
Appliances/Misc.
No. Gas lines Outlets Size
Tested and Approved