10740 1206 RUPPELL PLACE
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date-- .- . ----..lr/� ------..._ ........ 197.6... Permit No ----10-7L/ ---------------
The undersigned hereby m/ ss ary' p �'{' e �b�'}pfg/n pec}or of the City of San Jose
fora permit }o install the meC ��'�E�� a/�r C da.
Exemption from requirement for S ie of California or Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑
Undersigned attests that his State ofCalifor ireyyxq�xq�' e s /7s
is in full force and effect and properly auihorn s 'i appli� T'
San Jose City Business License # !f[n —66//
Icertify that in the performance of the work for which this permit is issued I shall not employ
any parson in any manner so as to violate'the workmen's compensation laws of California.
OWNER �
S-q�p ADDRESS �Zc ` Aet Lot No. ZI
USE OF BUILDING_
Signed n
AJ1 4ltU.LCR - O.�i4t
- --" - '- - - ...- ...
280-20 (b-73)
1200 RUPPELL PLACE CENTRAL
� Z D T T O � n 2 T n N m m m � �
H O � c c c c
D o c o � o 0 0 o u
/� � m m m : . A D S
d � Cl 0 , " C O � � 0 � C N 6_ b �
� y � 6. £ (p
a r m 3 � 3 a m m c S a m i
� � a -p m � � o � 3 n �.
D m � m = 3. 'o w _ _ m
� � Y O
'O n m O
O � �J
� Z ` Z
d N �
T N
o
� y _ m
~ � c
x � � � C
Z
70 n n G1 2 S D
m °
3 u � °o � v Z
ti D.
n S \ � i E p.
AO T O S � O �
s W �' 0 3
N r - y
ry O m n �n � m T
P �
m o p o m � N
a
N A S
q (( N (p
IC 1� I � �
2