80826 2948 New Castle Drive
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION
S� FOR GAS PERMIT �y /
Date-: .- - ------ .... 19
19-/...1.. Permit No-----. .4..- ---P-........
The undersigned hereb m b s I' a ' n h P}yrrybing Inspector of the City
of San Jose for a permi t i c r gas pipes as listed on the
reverse side hereof, and grees o install said appliances and/or pipes in accordance
with the provisions of Article II, Chapter 4 of the Sa�niJose u al Code, and
other laws applicable thereto. 6 �7/��A/�.
I certify that in the performance of the wo fo c his pe rt is issued
shall not employ any person in any manner so as to violate the workmen's com-
pensation laws of California.
OWNER-.._GL ....
..... ...... ........... _..-_.......... .............................--------------.-
ADDRESS -... LOT NO.-1//--
USE OF BUILDING....`.//_-`. ._ _..............-_..-.-.._.-----.............M...&..M--SHEET META
701-24B KINGS Ro1v
260.20 (Rev. Apr. 69) Signed. .. .. .............._ .-.........._.--.--_...----....--.-...SAN-JOSE;TA[IF 9.5112
2948 Newcastle Drive D1&M 6heet Metal
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