76777 7590 Erin Way
CITY OF SAN JOSE 1 BUILDING DEPARTMENT
APPLICATION FOR GAS PERMIT
Date...... .2. ___-------------------- 1970".. Permit No......1.6777
Plu
The undersigned hef�o�y�rn Ce ,�o,Md/ r gas Inspector of the City
of San Jose for a p r r�r��iiffee,//%�Qi4t p Iwfa�^K�e nd/or gas pipes as listed on the
reverse side hereof, and ag ees to install said appliances and/or pipes in accordance
with the provisions of Article VIII, ter ±h e, San Jysucipal Code, and
other laws applicable thereto. 6//�,/�>�{G'/
I certify that in the performance of th w r for w is this permit is issued I
shall not employ any person in any manner so as to violate the workmen's com-
pensation laws of California.
OWNER IZPN/AL .. 4 1f1'N...SP..n J..... -- ......._.
ADDRESS7$90..._ 21N ..w.fy.........................................................
USE OF BUILDING .. �"1�.. ...:.... 4
"-- `ftf..ii�EivTir��""Fi 'iivu '.fRVIC
4140 WILLIAMS ROAD
FORM 280-20 4/67 101A Signed .. .. ." ..--S-Af;°7Z"t-- -A95"17'--------.--.
7590 Errin Way Re--. -n al �ieating Seri
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