122261044 TUSCANY PL.
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE Z Y- BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
9-27-76 //Z�2-- .... '
Date....----'--------------------...._-----._.. 19....---. Permit No.........f._..-----------------
Tha undersigned hereby makes appl' do oto 1�,a) Plum6ingolnspec}or of }he City of San Jose
for a permit to install then��wo✓afl.kdn aigo�ev�se�iide.
Exemption from requirement for State of California for Contrac}or's License is hereby claimed
by undersigned: as owner ❑ �� s}s'0 me d4 ] 08i8
Undersigned attests that his State of California/Co�rectorJs L'i me �//��//
is in full force and effect and properly authorizes }his application.
San Jose City Business License
I certify that in Aa'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 1044 Tuscany P1. Lot N4. 1
USE OF'BUILDING Rog
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�,44';rTUSGANYyP.I;. 'SAN CARLOS SHEET METAI
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