70930 7579 EProspect 1 '. - '7-17
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR GAS PERMIT
NOV 2 0 1967 `�a 93�
Date'--....-----------....................... 19.-.----.. Permit No..----- ---------------....-------
The undersigned he�qbyymawkes applica/r�,to�he,Plup bing Inspector of the City
of San Jose fora hermit�o�ins+all�sfaid,appliances/a nd/or gas pipes as listed on the
reverse side hereof, and`agrees to install said appliances and/or pipes in accordance
with the provisions of Article VIII, Chapter .4 of he.San Jose Municipa Code and
other laws applicable thereto. 6> �� �
I certify that in the performance of the work for whit this permit��is issued I
shall not employ any person in any manner so as to violate the workmen's com-
pensation laws of/Calalifor 'a.
OWNER .Vl... G...�.17------ --- --- ' " �y
ADDRESS .� vv4..7.i -- . - .....................
USE OF BUILDING ... -- - - . .•. - .....................
FORM 260-20 a�e> ioM Signed -.MERCURY SHEET-METAL' & HEATING, INC.
"7597 Prospect Mercuey
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