10733 1228 RUPPEL PLACE ^
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR /MECHANICAL PERMIT
Date_ .5
....................... ..-.-. 19'.S�_ Permi+ No......../Q..23.
The undersigned hereby ma������es application to the Plumbing Inspector of the City of San Jose
for a permit to ins}ell th icpl ' t n e fyerse Voter's
Exemption from requi m ✓ /Y• )i� rni o �c}or's License is hereby claimed
by undersigned: as wner statement filed [[j�G'�tl $Ce(3
Undersigned attests that his State of CaliforniaContrac}or's License FaZ'74' C 69
is in full force and effect and properly//a''ulhori:es }� ap lication.
San Jose City Business License,# � �
I certify that in the performance of the work for whichh this issued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER 'f k-e4gJ
ADDRESS .2 2 Lo+ No. Z 6
USE OF 'BUILDING `
SignedC�4.er..... S . ..........
280-20(9-73)
1228 RUPPEL PLACE PARKER SHEET METAL
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