8983 (2) `7132 obsidian Court
Building Permit Confirmed
Not Required ❑
CITY OF- SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date-------------.12-.3-75...... ...... 19....:... Permit No........e? 0........................
The undersigned herebyJmakesGa pplicefio }o the Plumbing Inspector.of the City of Sen Jose
for a permit to install the'/mechenical7work,listed on Nie eve"rse-side.
{.�0, N� % �. % //i/fes
Exemption from req uireanen} for Sfeb of Celiforni •foreContredor's License is hereby claimed
by undersigned: // as owner ❑ statement filed ❑
Undersigned attests that his State of California Contractor's License # 110828
is in full force and effect and properly/authorize,,this 'aappplicafio=
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San Jose City Business License #401V .x/64600Q69
I certify that in the performance of the work for which this 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
ADDRESS 7732 Obsidian -Ct. Lot No.10
USE OF BUILDING Re
- SAN CARLOS SHEET M'cTAL W'O"Signe -----..er'.: ,ab' 2�Pca
280.20 16-731779 OLD COUNTY
7732 Obsidian Couxt,la San Carlos s.m
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