10733 1218 RUPPEL PLACE
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date_ ... ...
��_-----------....---........ 197 .. Permi# No.------1Q./.--77
.3-3-...-------.......--
The undersigned hereby m km application to the Plumbing Inspector of the City of San Jose
for a permit to install the myy��/anica 6rpJ,��'��d h r ar si
Exemption from require 'ii} foPZ f£ j:a l�(e fdr o re is License is hereby claimed
by undersigned: es ner ❑ statement filed [r,
Undersigned attests that his Stafa of Ceifor ia .gniracfoJs � 2-7s-/
` L
is in foil force and effect and properly authori a/pp_IGrJJ�lio
San Jose City Business License # �fCs Fj ,5
I certify that in the performance of the work for which this permit isss ued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER
ADDRESS �OZ 100 R'yl ;° l Lot No. 2y
USE OF'BUILDING
Signed — --------- -----
"'-12(99'WPPEL PLACE PARKER SHEET METAL
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