80826 2930 New Castle Drive
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR GAS PERMIT
Datb ........................... 19./1.... Permit No. �
The undersigned hereby makes applic ion to th PI bi �Inspe of the City
of San Jose for a permit to install sal a o s listed on the
reverse side hereof, and agrees to in sai app is ces an /or pipes in accordance
with the provisions of Article VIII, Chapter 4, of the San Jose Municipal Cod nd
other laws applicable thereto. d�6 ��q
I certify that in the performance of the work f w thi r i is s ed I
shall not employ any person in any manner so as to violate the workmen's com-
pensation laws of /California.
OWNER..GC ............... ..................._ .............. ......... ...................,/ _.
ADDRESS...��L !..... rt�%n� �- _�...... LOT NO.Y,S.�---
USE OF BUILDING- .-� ........ ._.-----..... ----.M..& M-SHEET-METAL
1011 701-24B KINGS ROW
280-20 (Rev. Apr. 691 Signed....-
2930 NewCastle Dr ve M&M Sheet Metal
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