10733 1202 RUPPEL PLACE
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date...-5----Z5----------— ............. 192.L. Permit No........../&-`- 33----------........
The undersigned r 6 4 s plication to the Plumbing Inspector of the City of San Jose
for a permit to ins .c �/���,1 e o e erse side.
Exemption from requi ment for Sta}e of� ifta�for Coniraclor's License
Exemption claimed
by undersigned: as owner ❑ statement filed [irC--Jox� Sc- L43
Undersigned attests the} his Stat of California Contractor's License # � h -1 669
is in full force and effect and pro & thod.es s a p is }i n
San Jose City Business Licensee f i
I certify that in the performance of the workor w ich this perrtii} is issued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER //-a-1 n e- I
ADDRESS 1r-0 L fc4�b2 n Lot No. 7,0
USE OF 'BUILDING
Signed...... .. Y. ...
"'I1202 � .-----C-- .�..... .. ......
(9-73
UPPEL PLACE PARKER SHEET METAL
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