93572 1194 kuppell Place 1900-C Rev.
Tract No. 5480 Lot No. 18
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT p
Dafe May Ll_, 19-76 J Permit No. 7_15-7 .
Application is hereby m fora mit to bui _
a one story, TYPe 5 cul ' t. ar.Use Zone R1 B6
et 1194 Ruppell Place �j/A , Occupancy 1
to be occupied only as—one—f am.—rase /.w/(/Space 2
in accordance with Plans, Specifications and Plot-plan filed herewith. ve Sprinkler
��10OU Emer. Elect.
Estimated Value of Improvements,
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 tc violate the workmen's compensation laws of California.
Owner --T L A _ Address P.O. Box 612 Cupertino 95014
By Address 1023 Tulipan Dr. S.J. 95129
t J. Mathot RECORD OF INSPECTION 411ee�r
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Foundation %/��76 C Frame
Stucco
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