80826 (2) 2923 Newcastle Drive
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATIO14 FOR GAS PERMIT.
Date._ `1-------------_--.------- '191J/_.. Permit No....b..�p.Q.U..a'-�.----`--
The undersigned hereby makes ap lication to the Plumbing Inspector of the City
of San Jose for �� �y�es/ /or gas pipes as listed on the
reverse side her n gre i s i a pI ces and/or pipes in accordance
with the provisions of Article VIII, Chapter 4, of the San Jose Municipal Code, and
other laws applicable thereto. ^�a� '
I certify that in the perfo oft r 4iGylRE+i permit is issued I
shall not employ any perso man so o e the workmen's com-
pensation laws
of California.
OWNER..... ....V`J..�._�.........__..._........`.._................ ................. ------..........
ADDRESS a:2 �1a LOT NO.S ...
USE OF BUILDING....:-. .- - ...-......_.......... ....L�. $ ..M...SNEET..METAL
701.240 KINGS ROW
SAN JOSE, CALIF. 95112
280-201Rev. Apr. 691 Signed....-- -.. . _..----
..__......-----------------------------------'-----------..._.. .
2923 Newcastle Dr- ve M&M Sheet Metai
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