3533 1391 Aster Lane
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR GAS PERMIT
Date / /../. ---------._.. 199Y' Permit No--------- 5 ..........
The undersigned her ke I' ti + u i Spector of the City
of San Jose for a p m' a g apes as listed on the
reverse side hereof, d agr s to install said ap liances an or pipes in accordance
with the provisions of Articl VIII, Cha ter 4, of the San Jose Municipal Code, and
other laws applicable thereto.
I certify that in the performan f� work h' t s, err i�js issued 'I
shall not employ any person in er s a i men's com-
pensation laws of California.
OWNER---.l Nl..._- Cog-i�S.�ti--- v---
----
ADDRESS....
"ADDRESS.... ---('c ' +rS ..- 901....... ..--------------.............. LOT NO. -------..
USEOF BUILDING.................. .........................._1�.._..............._.............. .........__.-
280-20 (Rev. Apr. 69) Signed........- --- -
1391 Aster Lane
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