82336 828 Kim Street -
CITY OF SAN JOSE BUILDING DEPARTMENT
ll - APPLICATION FOR GAS PERMIT 22 //
Date.3--- ---...1.................-----... 19.� Permit No-----u....z..,5-3..0
The undersigned permit
t�or3p �r,�o tkJe�P1v�F,r� Ppip s as of the City
of San Jose for permit t pipes to listed on the
reverse side hereof, and agrees t install said appliances and/or pipes in accordance
with the provisions of Article VIII, Chapter 4, of the San Jos Municipal Code, and
other laws applicable thereto.
I certify that in the perfor4kn45of thew or i is 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.45 �"/w.Cy._ Fjl.rillCi ........_.... ................
ADDRESS� �.d....{-�..cGz'kJ ... - - ......... - -...._. LOT NO......... ..
USEOF BUILDING .. . ............... .............. ............_........... ..........._..
280-20 (Rev. Apr. 691 Signed../..'2..� ...... . ..... . . .. . ............ .
828 Kim Street Robbins Plumbing
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