10740 1202 RUPPELL PLACE
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PE/R,/'MIT
Date----- /Z.¢...........- ---...--- 197�a... Permit No.....--�.P.L--7-Zv.---...._-------
The undersigned hereby kes ap I' a}ion to the Plumbing Inspector of the City of San Jose
fore permit to ins}all the�� 1th���re�t;Me.
Exemption from requir an} S}ate -i(or�w//f�(��L(<O��}rector's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑ _
Undersigned d attests that his mate of Ceof fractorj7L ns /.� -;
is in full force and effect and properly Cali appl'
San Jose City Business License $k 46 ^�60 � /c
I certify that in the performance of the work for which this permit is issued I shall of employ
any person in any manner so as so as t�orkmen's compensation laws of California.
;l OWNER �//��
i-4Bo ADDRESS 17 o L le P( , Lot No. zo
USE OF BUILDING
Signed----
2
gi2C-----
280.20 (6-731
1202 RIMPELT., PLACE CENTRAL
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