2203 7527 Tiptoe
CITY QF-SAN JOSE / BUILDING DEPARTMENT
APPLICATION FOR GAS PERMIT
Date-----October...19--------------- 19---73- Permit No.----. .1-7,7z11/-5........
The undersigned hereby makes application to the Plumbing Inspector of the City
of San Jose for a permit to in5 n /� r/ , I pipes as listed on the
reverse side hereof, and agrec.i3�l ap is fe5'6aQ/or pipes in accordance
with the provisions of Article VIII, apter 4, of tSJose Municipal Coed
other laws applicable thereto. :.
I certify that in the performance of the wor o which t is perm u d I
shall not employ any person in any manner so as to violate the workmen's com-
pensation laws of California.
OWNER...-.....Bill....Yamada-.
ADDRESS._----752-7---Tiptoe...Lane. ......---- --- ......_ ... LOT NO...------------
USE OF BUILDING......Residence... ........ .... -..... ............... .............. ........
280-20 (Rev. Apr. 61)I Signed_Western Air --- /
7527 Tiptoe Western
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