80826 2947 New Castle Drive
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR GAS PERMIT
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Date.9...._��.....---.._................. 19.��.. Permit No..-----0--�..D......--------------
The undersigned hereby make application to the Plumbin Inspector of the City
of San Jose for a permit to in al a s pes as listed on the
reverse side hereof, and agre s a n es n or pipes in accordance
with the provisions of Article VIII, apfer 4, f the San Jose Municipal Code, and
other laws applicable thereto. �k� �✓�/
I certify that in the performance of the v r or w i tis er issued I
shall not employ any person in any manner so as to violate the workmen's com-
pensation laws of California.
OWNEROWNER.. .5p........[/-7..------ ...... ......... ........._ ..... ...n_.._._...:..._......./..........
ADDRESS v / f .. ..... .. . _ ._..._ .. .a - c�T NO.X/7-
USE OF BUILDING..._I,,.Z.....F_F. . .............-..---.. ----- -M...& M...SHEET...METAL
701.248 KINGS ROW
SAN JOSE, CALIF. 95112 -
280-20 (Rev. Apr. 69) Signed ..... .. .. ....._ -------------------------------- ----------
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