70931 7588 Barnhart Place
CITY OF SAN JOSE BUILDING DEPARTMENT .
APPLICATION FOR GAS PERMIT �7
Date.-..---ROM..2Q-.1.9..67........ 19._....... Permit No....... ,,.7 ��/ .
The undersign ereby kes a licat' n to the tubing Inspector of the City
of San Jose f a i o ' d p a e or gas pipes as listed on the
reverse side gr o ' s pl ces and/or pipes in accordance
with the provisions of rticle VIII, Chapter 4, of the San Jose Municipal Code, and
other laws applicable thereto.
I certify that in the perform c��y�n��..the wo r h' th' it is ued 1
shall not employ any person r rpanner r tr 's com-
pensation laws of California. l�lll.,../////
OWNER -- G^ ..
ADDRESS .�r, rh _. ........ ..... . . . C7. ..............
USEOF BUILDING -- .... - ... ......... . ........................ ......... ............ .
MERCURY WFT METAU19 HEATING, INC.. -_..-.-....
FORM 260-20 4/67 10M Signed -------------...._.................-----........----....---- C
.&fi 7588 Barnhart Place ercury
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