515747799 Lilac Way`
CITY OF SAN JOSE BUILDING DEPARTMENT
.. 2
APPLICATION FOR GAS PERMIT
February z6---......... 19.68 .. permit No -----------5
Date ................ - - The undersigned hereby makes i do to e,plum1 Spector of the City
of San Jose for a permi pipes as listed on the
reverse side hereof, and gre to instal said appliances and/or pipes in accordance
with the provisions of Article VIII, Chapter o the San Jose Munici al Code, and 'f\
other laws applicable thereto. P� �jJ �f /�
I certify that in the performance oft e ork for i h asued I
shall not employ any person in any manner so as +o violate the orkmen's com-
pensation laws of California. :1-�
OWNER . ,t
.... ... ............A-' - -- ..............
ADDRESS .........7799 .�y�se-Alai+-.--,CI.L....!�/- -
USE OF BUILDING Residence .D.LV. I.[.l-D.N------------
Q HEATING & SHEET METAL CO.
FORM 280-20 4/67 IOM Signed .....0-- _4C1---A
:SLW}PVYOAM.S-AAE..-fArytpFgLL.. CALIF.
7799 Lilac Way ivision'
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