80825 2941 New Castle Drive
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR GAS PERMIT
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D a f a D..��jj.... ............................. ... Permit No. 41-- .. ..----
The undersigned hereby m es ap lica 'o to t Plumbi Inspector of the City
of San Jose for a permit to nk i n a pipes as. listed on the
reverse side hereof, and ag s sl s i a plian es an /or pipes n accordance
with the provisions of Article VIII, Chapter 4, tthe San Jose uniu al Code, and
other laws applicable thereto. //� � ' .
� I certify that in the performance of the rk or is p s issued
shall not employ any parson in any manner so as to violate the workmen's com-
pensation laws of California. 0
OWNER.Gv..�...,./L - .�X�,. ................... ......... ...................................................
ADDRESS Z',-�LOT NO.. .....
USE OF --- -- M.-&. M SHEET...METAL_.
701.248 KINGS ROW-
Signed
OW
Si ned.-.. SAN.JOSE, CALIF 95112
280-20 (Rev. Apr. 69) g
2941 New Castle Dr' a M&K Sheet MetL
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