80825 2936 Newcastle Drive
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR GAS PERMIT
9a .S
Date.1L....�.Jl�.............----_...... 191.... Permit No....--- o----- .........----`
The undersigned hereby roakes p Ii t Ip u�e jg Inspector of the City
of San Jose for a permit� yfa} s �(f'�o(�as pipes as listed on the
reverse side hereof, and s t Install said appliances and/or pipes in accordance
with the provisions of Article VII Chapter 4, of the San Jose mufIci 1 Code, and
other laws applicable thereto. G
I certify that in the performance of the /+ U6r whifh�i'niiss erm I Issued I
shall not employ any person in any manne so as to violate the workmen's com-
pensation laws of California. /
OWNER..... .....JY..- .... .. .......D ..._.._........ ..... . ...../.......
ADDRES}�/O� ....... uJT� --._ ..... LOT N01 .
USE OF BUILDING_ :_ ....
__....__---......---.........M.-.&_M SHEET METAL.
701-24B KINGS ROW _
280-20 (Rev. Apr. 691 Signed. -. ._..----.-..-� - 5AN JOSE, CALIF. MI-2
2936 Newcastle Drive M&M shppt Metal
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