10733 1224 RUPPEL PLACE
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date...1 ....... _7_,33.....................
' � Z�.._......__....------ 197L.. Permit No...-�---�/0.
The undersigned hereby ma s applicat' n Plumbing Inspector of the City of San Jose
fore permit To install the mo an' aj/Gp ed
r1 e�vfr kid ,
Esemption from require r }e o f f OW
or's License is hereby claimed
by undersigned: as o her ❑ statement filed ❑�G-ZV 15C
Undersigned
Undersigned attests the} his State of California Qon}rector's License # 27 4 6 rag
is in full force and effect and properly authorizes ti`t's a 'ylication. n /
San Jose City Business License # y�— l� �/(/
I certify that in The performance of the work for which ffiis'permit is issuedA shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER rt-4,12 ��
ADDRESSJ 2 z�I 2�� O Lot No. 2—r
USE OF 'BUILDING ^ S
Signed.....
280-20 13
1224 �fJPPEL PLACE PARKER SHEET METAL
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