70931 7636 Barnhart Place 530
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION . FOR GAS PERMIT
Date--- ....NOV.10 1967....----- 19.......... Permit No------ .�C ..,, /.........
The undersigne hereby k ati to the PI ing Inspector of the City
of San Jose f a i s id i n;Pgas pipes as listed on the
reverse side agr o ins a said appliances es and/or pipes in accordance
with the provisions of Article VIII, Chapter 4, of the San Jose Municipal Code, and
other laws applicable they o.
certifythat in the or ante of ' 4t W2,1 flii p mit is issued 1
P rryefiyk/d/a�Ef{jr(
shall not employ any p any s o e workmen's tom-
pensation laws of Cali rn i� �•�
ic
OWNER � y4 2 . .......�
..y- �- ...
ADDRESS ..l ..�c2L '' ........ -
USEOF BUILDING ................ ..... ................ - ........... ..........................
MERCURY SHEET METAL & HEATING, INC
FORM 280-20 4/67 toM Signed ........-------................................................... b --------....
"7626 Barnhart Place Mercue3r .
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