13333 (2) 1055 TUSCANY PL
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
7ITT
Date.... ...1-��.-77.... ....... _....... 19........ Permit No............. ./_33-3..3_.............
The undersigned hereby makes application to the Plumbing Inspector of the City of San Jose
for permit to install the mec}rSn�lca w rk.li 1 d on.ihe ayejs��j/
Exemption from requirement Lior'f fe of(Cdffom;aj(oriContractor•s License is hereby claimed
by undersigned- as owner ❑ statement filed ❑
Undersigned attests that his State of California Contractor's License # 110$2$
is in full force and effect and properly authoriseffii _application.
San Jose City Business License # / Q �C /
I certify that in the performance of the ork 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 Pond. Homes
ADDRESS
1055 Tuscany P1. Lot No. 5
USE OF BUILDIN
SAN CARLOS SHE MrIAL •
,�CYn.oBz .
779 OLD COUNTY RCSifjned----- ...... ...... ........................
SAN CARLOS, CALIFORNIA
280-404n
1055 TUSCANY PL SAN CARLOS
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