93572 1186 Ruppell Place 19007B Rev.
Tract No. 5480 Lot No. 16
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT PC-
Date May 11 19 76 Permit No.y3> >.Z
Application is hereby maucW for a permif to
a_one_sfory, Type - . _ _ it r ta. 9arUse Zone 111136
af11-86—RA1p_p_el l Place A/ Occupancy 1
to be occupied only as one fam �y/I/ Parking Space 2
in accordance with Plans, Specifications and Plot-plan filed herewith. Fire Sprinkler
p Emer. Elect.
Estimated Value of Improvements, fO(l0 /YoN
I certify that in the performance of the work or which this permit is issued I shall not employ any person
in any manner so as tc violafe the workmen's compensation laws of California.
Owner NE L Address P•0. Box 612, Cupertino 95014
B _ Address 1023 Tul,ipan Dr.S.J. 95129
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