12274 7595 HEATHERWOOD DR.
Building Permit Confirmed ❑
lr�l Not Required Cl
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date----...---- 19--- --.. Permit No.....--l.2-
9-27-5E-76 -- --------- ---------
-`----..._------------------------- - -
Z
The undersigned heregy makes gpl ation'to the ++Pl��umbing Inspector of the City of Sen Jose
fore permit to install �6 ,rJr/�rc 'B/ al)yorkk is�ied onjfi�r;lar /file,
Exemption from require Ma�{or�Stetee of 6elifoornia (ori ntrctor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑
Undersigned attests that his State ofeCalifornia Contractor's License #_110828
is in full force and effect and prorlyojses'Phis ce}io40
n's J
San Jose City Business License #
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
ADDRESS
7595 Heatherwood Dr . Lot No. 5
F 'BUILDING
S 5ECq.LUa aNFET METAL'W
779, CL, COUNTY ROA IY"9 dd - �' -
28040 (9- AN, CAKUDS, CALIFOR{VIA
7545 HFATHFRWODD DR- SAN CAPi nc SHEET MFTAt
Type of B.T.U.
Appliance No. Input
Gas Ranges
Wall Heaters
Boilers (Steam(
Boilers (Water(
Blower Furnaces 1 120 -
Suspended Units
Clothes Dryers
FEES
MFee ..
.Fee 7s Fee ¢,00Flue/Vena ts FeesHood/Duct FeeCondensate Drain n7 FEE' 10.00
INSPECTION RECORD
Ducts Underfloor c/�
Ducts Complete /��G( ��
Flues in Wall., J��'Cq
Flues complete 2 -7 7
Appliances/Misc. — 7
No. Gas Lines Ouflets Size
Tested and Approved