72215 7633 Prospect Rd
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR GAS PERMIT
MAY 2 91968 19.......... Permit No.--- ` ........... -
Date.... .. ... ..._...... .... .._.
The undersign ere as lica onhe P pipes
piInspecpes
of the City
of San Jose for e I', ce d s es as listed on the
reverse side her rees to in al d is ces and/or es in accordance
with the provisions of Ar icle VIII, Chapter 4, of the San Jose Municipal Code, and
other laws applicable thereto. '�� ,����
I certify that in the performanc work hick this er i isissued I
shall not employ any person in any manner so as to violate the workmen's com-
pensation laws of California.
OWNER .. .
.1 J - ................................................
ADDRESS6c l 3...... .... ... .. lT �L.--.......-.....
USE OF BUILDING ....... -c-------
FORM 280-20 4/e7 IOM Signed .........MERCURY SHEET METAL & HEATING, INC
..............
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7633 Prospect Rd Mercury al
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