80967 ` 919 New Haven Court� .
� GTY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR GAS PERMIT -
Date----`-'__.UL-y.......Y............... 19.�.L. Permit No....�Q.�.l.��-----'---........
� ofTS n Joserfor ad ermibt'rIi'�ktdll.s�cla� Ian�+�^�I���q Insesca�rlis+dhonCtlhe
p ��3 .'1s P,�. i et � .s9 P P.
reverse side hereof, and agree9�to insta�l said appliances and/or pipes in accordance
� with the provisions of Article VIII, Chap er 4 of the San Jose Municipal Code, and
other laws applicable thereto. �� ���/ ���
' I certify that in the performance �ofThe�work o hich�this penmit' is issued I
shall not employ any person in any manner so as +o violate the workmen's com-
• pensation laws of California. � '
� OWNER._._...W.�.�.LL..J - _...._.....___. :.` - - .................._....... - .... - - ...--
' ADDRESS....----...L.L-9.---...�LrI.�....N�.-VIL,!S('...C:�iLOT NO.----.-----..
USE OF BUILDING_..._..NO.H_.FL--__..........___,:.:-...........
'l .. ��
_ ..._ ........
280-20 �Rev. Apr. 69� Signed...�f�U�N...S�t.:Y�. ..""..._"_"__`"_""'____ -
919 New Haven Court GraDon Sheet Metal
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