70546 (2) . 96a� Eriln
CITY OF SAN JOSE 9 BUILDING DEPARTMENT
APPLICATION FOR GAS PERMIT
/0 , ...__ N
19_�i.._7. Permit o.._--.---�.7- / .
Date. ( U...'S..�.._`.... ..
The undersigned her y mak s appli ;on o he bing Inspector of the City
of San Jose for a per p or gas pipes as listed on the
reverse side hereof, agr s to insta sai appliances and/or pipes in accordance
with the provisions of Artic VIII', Chapter 4, of th San Jose Municipal Code, and
other laws applicable thereto. V&/tj�
I certify that in the performance e wo or w is tis ermit is issued I
shall not employ any person yin any manner so as to violate the workmen's com-
pensation laws of California.
OWNER ------------22-n......LcJ.:.. ar L!......I.....................................a.......
ADDRESS -----------74.o ] .. rte... ....... .......... .............
USE OF BUILDING /� . ....._ ........ _....... ...........
Foam 280 20 iam 4/64 Signed ...............C....=— .� ...!---?&!1.....------
7607 Erin Play Atlas -200" Heating
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