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72675 1163 Stelling CITY OF SAN JOSE BUILDING DEPARTMENT APPLICATION FOR GAS PERMIT 7 Date;.. /CC __ ! 7 7/ 0l�/ ---.. . . . . - -------.. 19------.. Permit No.... .. ....... .------------- The undersi ned hereby mak li tlu b' pector of the City of San Jose for a Permit to in �pes as listed on the reverse side hereof, and agrees to iall said appliances and/or pipes in accordance with the provisions of Article VIII, hapter �+�Qf the San Jose MunilRal Code, and other laws applicable thereto. J /q/ l/ I certify that in the performance of th k fo i is it is issued I shall not employ any person in any manner so as to violate the workmen's com- pensation laws of California. OWNER .... .. .....------- ---[. � .. - ........... -- - - ADDRESS ---------- - -- ...................... ............. ..... . - . ........ USE OF BUILDING .............X�5.-.t�/Q ��.£C...Ce................................../ / FORM 280-20 4/6710M Signed ./.Fst. �.- ��-...... ` ---""--"" 1163 Stelling Rid Htg Seri m Z m n o c c o A mTam ° m < °' o m aT- CL 0 In Cm O < o o a '" o `D m y V. O_ m 3 a n- � ° S N � O N