12226 (2) 1028 TUSCANY PL.
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
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Date ..._.....9-27-76..... .... - ... 19 - Permi+ No..... -( 2- - - - ----
The undersigned hereby makes application to the Plumbing Inspector of the City of San Jose
fore permit }o
install the me ar�scab wor Iii�}�ead�(,,�on tbe-re;�e�a Side.
Exemption from requiremme T��ate of-Calif feCont ctor'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 authorizes this' application
San Jose City Business License # `/O/ 4�
I certify that in the performance of the work for which }his 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
1028 Tuscany Pl. Lot No. 6
ADDRESS
USE OF-BUILDING
SAN CARLOS SHEET METAL WO 5 e IMG
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igfi -- ............ -
779 OLD COUNTY ROA -
280-20 (9-74JAN CARLOS, CALIFORNIA,
1028 TUSCANY PL:. SAN CARLOS SHEET METAL
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