72208 7647 Pros$Act Rd
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR GAS PERMIT
Date.------MAY �i �..�91i8........ 19---....... Permit No.---7�/...V l ........
The undersigned here*mkap�plicafionJnthe Pbing Inspector of the City
of San Jose for a per (/6�i ph yF(aA(/ r gas pipes as listed on the
reverse side hereof, al s and/or pipes in accordance
with the provisions of AChapter 4, of the San Jose Municipal Code, and
other laws applicable thereto. q, / �
I certify that in the performance of e k fo ���yrercy# is issued I
shall not employ any person in any ma e a t /. kmen.s com-
pensation laws - California.
OWNER V} .. ...lcl< he ....... .. _ ...
ADDRESS .... 4---: . /---- . -----------
1/S ..................
USE OF BUILDING ------- ....... . ......................
FORM 260-20 4/67 10M Signed ........... ERCURY SHEET METAL & HEATING, II�Cy _.............
..............................................INN,.ti%
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