89857712 Oro Grande Place
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR . MECHANICAL PERMIT
12-3-75 Cq
Date .................................................. 19------ Permit No..._.0....[...��..------
..................
The undersigned hereby makes application to }he.Plumb>inng Inspector of the City of Sen Jose
for a permit to instill ��ch�nirta�ho�rkElis�ted on�he�,rwerse side.
Exemption from requmemenf for S}ata of ,California ior9Coniracfor's License is hereby claimed
by undersigned: 11' as owner ❑ statement filed ❑
Undersigned attests that his State of California Contractor's License # 110828
is in full force and effect and properly7au�rthorises }his 1. t.
San Jose City Business License # // �����
I certify that in the performanceoi'fhe work for which fhis perms On' 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 7712 Orogrande P1. Lot N015
USE OF BUILDING Res. ,
:-AN CA46SHE�rf METAL Woji �J
�igned� ............ ..merit .
280-20 la-� 79 OLD COUNTY ROAD
7712 O o GraniSdeAl�Plat��� San Carlos s/m
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