82144 8115 Park Villa Circle
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR GAS PERMIT
FEB i 1972
Date.....------ . ....... "
...... ----—-... 19--------- Permit No. ---...---- ---... --'------._.....
The undersigned ereba�b makes,eppl�' icon,�� IPIyWfPJ Inspector of the City
of San Jose for a ger�i?9 tsn all.fid app'tiSnces and75r gas pipes as listed on the
reverse side hereof. and 4rees to install said appliances and/or pipes in accordance
with the provisions ofle Article VIII, Chapterj,4, othe
/S/a���J Mu ici al Code, and
other laws applicable thereto. l�!) •J�/i'! fi/jv�i/
I certify that in the performance of i e work for w is a 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..MACKAY. OMEEESS--------------------------- __............. -------- -----
ADDRESS..�/�� _.(!./�L1L...1�h Gl �.........- .. LOT NO.-AP-------
USE OF BUILDING RESIDENCE
......... ...._ ...... -..... .._......_ ................. .
280-20 (Rev. Apr. 691 Signed -
MERCURY SHEET METAL 'a
..........:....................-------- .-. - -�J'f ------.. .
8115 Park Villa Circle Mercury .
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