72213 1661 Galway
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR GAS , PERMIT Q 2
MAY 29 1968 ..... 9._..... . Permit No....��v....�.✓.....---
Date.... ..
The undersigned hereby makes application to the Plumbing Inspector of the City
of San Jose for wand/or gas pipes as listed on the
reverse side her e o al a pliances and/or pipes in accordance
with the provisions of rticle VIII, Chapter 4, of the San Jose Municipal Code, and
other laws applicable thefe4pA
I certify that in the ey�+"anc �LdG /fwhich this permit is issued I
shall not employ any person in any manner so of to violate the workmen's com-
pensation laws of California.
OWNER .V...?.- - ._E— ..
ADDRESS .L. llo — . .. . . .. ...................
USEOF BUILDING ............. --- --------------------------------
FORM 280-20 4/67 10M Signed ---....MERCURY SHEET METAL & HEATING, IN
. . . . ........................_................. . . ..............
1661 Galway Mercury aL
Type of Appliance No. Remarks (C Teck V)
New Replace Relocate
Gas Ranges
Wall Heaters
Gas Plates
Circulating Heaters
Blower Furnaces t7
Gas Fired Boilers
Warming Ovens
Percolafors
Griddles
Steam Tables
Gravity Furnaces
Suspended Unit
Floor Furnace
Automatic Controls
Flue and/or Vent , dd
Hood and/or Duct
Clothes Dryer
Permit Fee °d
TOTAL e
FEE
Inspected and Approved
HOUSE GAS PIPING
Number of Outlefsl Size of Main
FEE
Tested and Approved By