10733 1182 RUPPEL PLACE
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date---,577 .s ........... ............ 1976. Permit No......./O w. ....................
The undersigned her maks ap ication to thePlurrfb' n actor of the City of San Jose
fora permit tc5n, orVll' n it e.
m
Exemption from regreme�/kt/or Sta Ca ifornia for Contractor's License}✓ ereby claimed
by undersigned: aowner El �� Stefamen4 filed C%t6,7QSC y3
Undersigned attestst that his Stateroper of ufhori rnA�liz.th }!•rY / O
is in full force and effect and properly auihori:elifhis.applic n. �
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 ma er so as to violate the workmen's compensation laws of California.
OWNER Orpt 9—
ADDRESS
ADDRESS Z TZ �UT 42 � Lot No. f S
USE OVBUILDING II
Signed..... ... --------- 1+.'�.....................
280-20 rrgg 73
11 2 �TTPPF,L PLACE PARKER SHEET METAL
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