80826 2911 Newcastle Drive
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR GAS PERMIT
5 ee
---------- --- ----- ---- 19.0,1.... Permit No.---D.�-J. � .--- -----------
The undersigned re Ic t t e Plumbing Inspector of the City
of San Jose for a p to st ai p, n sand/or gas pipes as listed on the
reverse side hereof, and agrees to Install said appliances and/or pipes in accordance
with the provisions of Article VIII Ch pier 4, of theJos Municipal Code, and
other laws applicable thereto. /�& /9 ,t
I certify that in the perforrc(ance of fhe w r for w 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 ..........__...."""..__........_...�/.... '..... ..... .... .......
ADDRESS... ��-..../yL/ -
,LxiLOT NO.
USE OF BUILDING_/ -- - ----
_....... ..._...Nf...&...M SHEET METAL
701.248 KINGS ROW
Signed ... ....... - "
280-20 (Rev. APr. 691 g --�-"'---"'"-"""-'""' $AN JOSE, CALIF. 95712
2911 Newcastle Dr ve . M&M Sheet Metal
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