21535 1218 RUPPML' PLACP
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date--------47�2:Y-------------------------- 1976--- Permit No.-------- --f.- - ...................
._...............
The undersig nad hereby a ap lice}i n }h Plumbing Inspector of the City of San Jose
for a permit to install plum ng lisl£d)ofr' e s side.
Exemption from require i e o ior� nt o icense is hereby claimed
by undersigned: as o ner ❑ statement filed ❑ �7/ 7
Undersigned attests that his State of California Con <to s License # —,—
is in full force and effect and properly aufhorizes this pl' io
San Jose City Business License # -4 6 — !
I certify that in the performance of the work for which this permit is issued Ishelf not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER '�"',ucLL-
V ADDRESS Z 1 CLL -9L.. Lot No. 24
USE OF BUILDING 4:7-
280-30 AN.P.
280.30(9-73) -------------------------.....................
1218 RUPPRLL PLACR CR,NTW,
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