10733 1210 RUPPEL PLACE
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date.... ........................ 197.6-. Permit No.-----077 7---------------...-..
The undersigned hereb akes a Iication 4o the Plumbing I ec4or of the Cify of San Jose
fora permit to install t c/p ssfe}i E var a.
Exemption from regw�lr nt or Ste o{ lif riff rdrac4or's Licenses.hereby claimed
by undersigned: as owner ❑ statement, filed LT t--LtlS C •4 3
Undersigned attests that his State of Californiagontracior's License #z
is in full force and effect and properly authorizers/' a plic
San Jose City Business License # atio z
I certify that in the performance of the work for which this permit is issued I shave not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER TY P-0 e �1
ADDRESS 12 )b /ye ' 10 Lot No. 2-2
-
USE OF 'BUILDING L
Signed----- ---
280-20 (9-73
1210 �iTPPEL PLACE PARKER SHEET METAL
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