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71281 1123 Ko-ntwood CITY OF SAN JOSE / BUILDING DEPARTMENT APPLICATION FOR GAS PERMIT �j Date Iz -..A-7 ------ -------------- 191i Permit No.----1--vaV....._._J-� The undersigned hereby ak s ti t .P m ei �spector of the City of San Jose for a permi 1 $4ee ;';P . r bas pipes as listed on the reverse side hereof, an agrees o install said appliances and/or pipes in accordance with the provisions ofle Article VIII, Ch/ e of tie San os ,Municipal Code, and other laws applicable thereto. ll/6{> '�7/ ��Ju/ �(,`r1 I certify that in the performance t wor or, which this pe mid is issued shall not employ any person in any manner so as to violate the workmen's com- pensation laws of California. OWNER --------------7i �R.....................- - _ - -----......---- ---. -------- -------------- / - �1 . /J ADDRESS l..l Z ----- L�--��w?Ctl[2T� -.-..--C:w ....................... USE OF BUILDING ......lC/�.5...--/. ./....... .................................................. . FORM 280-20 4/67 10M Signed -- ... - / F--j' .......... ... -----------------....."-. "-.... ------..--......-----.......... 1123 Kentwood ! / C/ $ails T' Z v � 02SD ?' c G1G1m Imm � G1 � G) io m 3 m 3 ° m o ° E 0 d a ' d 3 °' ° 3 , c — A CL md A d 4 d Td� N a � T a Vi = a o to D O ° T y d n ^ C 3 .m O w a 'o O m v m O l v N 1 � O a W f 3 r a a � ^ S a d d °