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76867 1655 Sar-Sunnyvale #2 CITY OF SAN JOSE BUILDING DEPARTMENT APPLICA....T...I..ON FOR GAS PERMIT Date. CN . �Q c V The undersigned hereby makes application to the Plumbing Inspector of the City of San Jose for a p �Vlll, s r gas pipes as listed on the reverse side hereofCa(dard a es and/or pipes in accordance with the provisions of Ar 4, of the San Jose Municipal Code, and other laws applicable thereto. 44r / I certify that in the performance of work f �71s' s issued I shall not employ any person in any manner so as to violate the workmen's com- pensation laws of California.. OWNER....)O. .j..q. /.L... .... ................... &A ...... . .... ----------- -...------- L�ADDRESS -------- � i Nf USE OF BUILDING J /v .. ....._. ._..... L .... .t...IY.. . ........ ......... Signed... ... /A/ . -- - ------------------- 280-20 (Rev. Apr. 69) JV�- 1655 Sar-SiinmtvAlp #2 L7N 4L-iosuj' i o Meta/awe m••Z o n 2S D. T G1 -N. In G1 O0 n Cl� � In m' m 3 d 3 -°« oo C o d d m lI j d - C d ID d �' . d = d CL DO o m a 0 n ° C 3 a O O C o md a < o n 2 v m D m l p o '• i d y v a � N D 'o Cv o- � o � o � m — 3 Z1 d m 'r c n ry S — d n IZ1 � A d