10733 1186 RUPPEL PaCE
e Building Permit Confirmed ❑
No} Required ❑
a
CITY OF SAN JOSE BUILDING DEPARTMENT
a
APPLICATION FOR MECHANICAL 7PERMIT
Date----S"-"-_zs_---"---....__...._.... 19J. .. Permi# No....1--V./ 3.._...
The undersigned hereby mkgs ypp fio }o }he Plumbing Ins pec f the City of San Jose
for a permit to install the ne SSJrCor fsf dh rev 1�
Exemption from requirement fo }ata of eli orni for Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed d e-YoSt.-413
Undersigned attests that his State of Celiforni ,LeoFlre ct.;4L' n p
is in full force and effect and properly, aufhorisa��f dpplic,0i
San Jose City Business License #' -I i,— 0 n (o I
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 2rie L
ADDRESS_Ile f? uveae- � p � Lot No. 1t
USE OF BUILDING v
9 JJ Signed----.. .. r/� ~------/5M---------_ ----
ZB I'V9,6PPET., PLACE PARKER SHEET METAL
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