71338 7647 Prospect Rd �S
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR GAS PERMIT 7 p
Date.....JAN...rZ...'5...196H---------- 19--------- Permit No.----711/_0----------------
The undersigned bpreby makes a plication to the Plumbing Inspector of the City
of San Jose for a er ap c gas pipes as listed on the
reverse side here s ai is s and/or pipes in accordance
with the provisions of Art' e VIII, Chapter 4, of the San Jose Municipal Code, and
other laws applicable thereto. j}e�
I certify that in the performance e/werk for r#fiY issued I
shall not employ any person in any nn so a t e ens com-
pensation laws of California.
OWNER ........ ...�tiv..'ftin
ADDRESS7(O--Z-- --- -- --------- .... -...........-- -
USE OF BUILDING --------- ----`---- ---------------_------------------
FORM zao-zo 4/67 IoM Signed ...MERCURY SHEET METAL & HEATING,-INCL
7647 Prospect Ed Mercury
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