73590 (2) 7601 Erin Way
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR GAS PERMIT
Date.......DEC. _2..................... 19.. .g Permit No.. . 5..... 0
The undersigned her ���m�a p ' t' ,+6 hebing Inspector of the City
of San Jose for a p9'T%"�y5sd� Ifs e or gas pipes as listed on the
reverse side hereof, and ag ees to install said appliances and/or pipes in accordance
with the provisions of
le Article VIII.rChapter 4, of th 0�5s nicipal Code, and
other laws applicable thereto. /J�'_4FTi �/
I certify that in the performs ce � the wor or whichis permit 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.h8.1S.4_ --................................-----------------------
ADDRESS ------7_G.U1 ---.�.f2L4L. ..:W,4,Y.................................................
USE OF BUILDING --- fQ.ES.l12 .N.G ........ . ...... ... ......... ...._.
FORM 260-20 4/67 10M Signed --............. ... .. ... �.
Valley 7601 Erin Slay Y Heatin g
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