70931 7576 Barnhart Place35�
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR GAS PERMII/T)
Date..........NOV
--2O--1- ------- 19.......... " Permit No.--=.../..-0�� '
..��.../-----
The under s' ner1i
lic o t h ,ng Inspector of the City
of San Jose a a c a or gas pipes as listed on the
reverse side hereof, nstall said appliances and/or pipes in accordance
with the provisions Chapter 4, of the San Jose Municipal,Code, and
other laws applicaI certify that in �or ! phi is permit is issued I
shall not employ am n r o o ate the workmen's com-
pensation laws of California.
Q �...`.0... -
OWNER . Oma/ -
ADDRESS /.. ./.. .. c2�%�Z`z .f/� - s -----------.----..
USE OF BUILDING .... ... ..-----------------------------
FORM.280-20 a/e7 10M Signed ---.--MERCURY SHEET METAL' &' HEATING, INC:C09z .......--
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1576 Barnhart Place, . Mercuey 1
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