21535 1224' RUPPPLL' PLACE
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date-------......�—...z'.4:----------------------- 197 _ Permit No.-------o?-- .. .I....----.-----
The undersigned hereby 4ao
pplica}ion to the Plumbing Inspector of the City of San Jose
for a permit to ins}all plu inr e o pest is erre side.
Exemption from requir is Ir or
's License is hereby claimed
by undersigned: wner ❑ statement filed ❑ 1-71 -7 Undersigned attests that his State of Celifor ' Contractor's License #
is in full force and affect and properly authorizes 1 ii atiw�' �,/���
San Jose City Business License # �_
I certify that in the performance of the work for which this permit is issued'I shallnot employ
any person in any manner so as to violate the workmen's compensation laws of California.
_ OWNER ^1R&=;Ln36LL--
T2
ADDRESS j7_1+rltl e�-RrSL(_ yL. Lot No. 2 f "
�4P6
USE OF BUILDING 4�
280-30(9-73) Signed----- 7.IflLCIL000-f,11y-.Y12C-------
1224 RiJPPFTT, PLACE CENTRAL
10 aco = ma0 !, o 0 0 0 xrTw1 ; E
o - a oTN ^ o E T A A
T p N N N
N
4�lj� rj l� 1�m
W9 Wv
> >
N
C p O O p H O O H O O
z o
� - c ' pT � E
l = s A v 1 >
O r T o N T� m ; m T ; 1 T ;
p mo p Z
m ^ N m m v, ^ •� '� p
t
m
m o °- 1
y v m D Z
ACNC N CZi � ^ ; nnit�
m �9