72668 7724 Squirehill Ct .3
CITY OF SAN JOSE BUILDING DEPARTMENT
AUG
APPLICATION FOR GAS PERMIT// QQ
Date------AUG......9-1.968..:------ 19.......... Permit No...Z-?,C ./�4.------------
The undersigned hereby makes application to the Plumbing Inspector of the City
of San Jose for a per n i v n gas pipes as listed on the
reverse side hereof, a�@ �/�g5� ��� nd/or pipes in accordance
with the provisions of Article III, Chapter 4, ofof the San Jose Municipal Co
de, and
other laws applicable thereto.
I certify that in the performance of tork f r 'whse� �i is
issued I
shall not employ any person in any manner so as to violate the workmen's com-
pensation laws of California.
OWNER . .��-.. . . ..?,--a ---------z-2.�........--
ADDRESS . ------ .. . . Z...: ..............
USEOF BUILDING .................................................... ......... .........- ..........
FORM 200-20 4/67 10M Signed .......... dERCURY SHEET METAL & HEAT1NG,--IN� --------
7724 Sauirehill .Ct Mercury
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