10733 119 + RUPPEL PLACE
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date..-- -Z'.�.._..........---'----.._.. 1976.. Permit No.......
-..f.o.._..33.----------
The undersigned hereby akt aPplicafA n }o the �umbin Inspector the City of San Jose
fore permit to install theaficaV "31 4 f re_°,_rs4�J`,,7�i•
Exemption from raquir �4�io�$ e af�C� 'fp�.(': ntd recto 'r,
icansa yhereby claimed
by undersigned: es ner ❑ statement filed [9� C'w SC J
Undersigned attests that his State of Calif. ' Contractor's License i
7 /
is in full force and effect and properly au}
Sen Jose Ci}y Business License # ((4
1 certify that in the performance of the work for which this permit is issued I shall not employ
any person in any manner so as to .iolate the workmen's compensation laws of California.
OWNER -;rY6n9)/
ADDRESS �/ 7 R f'T =/ 1 Lot No. le
USE OF 'BUILDING L2
g L Signed.... �-r Lh--------aS... --------------
280119 NUPPEL PLACE PARKER SHEET METAL
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