8984 7740 Obsidian Court
Building Permit Confirmed (J
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date-- --------12-.3-7,5-----------------
19.-...... Permit No............
.-----/---------- .....
The undersigned hereby0mekesiapplic'afion�toGhe Plumbingllnspec}or of the City of San Jose
fore permit to install the me ahani6l(_w_orkZlisted'on_}Ire revar'se�sida.�
Exemption from requirement of California far Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑
Undersigned aftei}s that his State of'California Contractor's License #___U0828
is in full force and effect and properly?aufhorixes this 'applicationan p�
San Jose City Business License # ..4f rr 46=00069"IV/I�/(
I certify that in the performance of the work for whichrthis permit is�iiiued -I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER ponder-osa—HGme
ADDRESS 7740 Obsidian Ct. Lot No.
USE OF BUILDING Res..
SAN CARLOS SHEET MET AL WOP.$ignedlr s..e----------- -------------------------------------
280-20 16-73 /9 OLD, COUNTY ROAD
7740 O6ctari Courti' IA sen carloss/m
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