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76690 (2) 858 East Estates Dr C CITY OF SAN JOSE BUILDING DEPARTMENT APPLICATION FOR GAS PERMIT Date----- --1�' .-. ..."Y9'....--.. Permit No....._7K6 ( C1------------- The undersigned re y �AghliRaf I' t e Plumbing Inspector of the City of San Jose for s p' n s and/or gas pipes as listed on the reverse side here ,"and to install said appliances and/or pipes in accordance with the provisions of Article %II bapter of�h�Asn/J�ese icipal Code, and other laws applicable theret J x/ pll' (/e/ I certify that in the performance of the work for which is 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....!?� ----X72.....--o ! Q S--------- ............---------- .._--------- ADDRESS- ---_C SS....ES.Ti s---.n/?.:... ... ....., LOT NO.9L------- USE OF BUILDING- - ...._.... ..... .... ...... / O1/ ------------------------------- 280-20 (Rev. Apr. 69) Signed...... ... ..may-.�----- �- - -'-rq� 858 East, Estates Dr Jones � 2 a D Q QJo_ m -i s d o n _ m D m Oy oo - 3. N m m v N H' d 1 Z W d �Oo E A 3 d � N d v a � n d d n n ` d D m