10733 1214 RUPPEL PLACE
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR /MECHANICAL PERMIT
Date --557--
-` .- �--.....................-- 19/6... Permit No.-----I Q J3---------------------
..
The undersigned hereby mek pplicat' n to the Plum bii Ins ecfor of the City of San Jose
for a permit
to
install the mec ni he a ef�� a
Exemption from raquireme o !6t o a �p/�t 5tor's License is hereby claimed
by undersigned: as own ❑ statement filed ( G—Z!� 5c-N3
Undersigned attests that his State ofornia Contractor's License # ;27N (,L
is in full force and effect and properly au'
or his
San Jose City Business License # L"1' 0
I certify that in the performance of the w 'for whicl, this permit/'/is issued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER �YL'✓I Q I I
ADDRESS I .2 19 IR ePCI�� Lot No. Z 3
USE OF BUILDING 2
Signed..... ...o.1' we'i------------- - ----...------------
280-20 (9-73
1214 )Ri1PPEL PLACE PARKER SHEET METAL
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