80826 (2) 2942 Newcastle Drive
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR. GAS PERMIT
Date. . ._......................................
. ... .............. Permit No........Q--_C--.-V< .............
The undersigned hereby makes application to the Plumbing Inspector of the City
of San Jose for a permit to in all s id pJ anc s an r ipes as listed on the
reverse side hereof, and agr s p r pipes in accordance
with the provisions of Articl I apfer , o 1, San ose Mun[ia�' al Code, and
other laws applicable thereto. eE
I certify that in the performance of tf'�e c for h s p6 �t Is issued
shall not employ any person in any manner so as to violate the workmen's com-
pensation laws of California.
OWNER..eZ.... ...7/..----�.......--.,... ........ .. -..... ........ -////- -
ADDRESS.d9Y ._.. // �Le� e-ee i-.._t�` �.... LOT NO.Z/V....-.
USE OF BUILDING..... L. - ..,_ .....................................�_& hh SHEET METAL
701.248 KINGS ROW
280-20 lRev. Apr. 69) Signed...---_. - ---<<.cs_.rP --------------SA-V JOSEr-CAdr.'95112
2942 Newcastle Driv M&M Sheet McAl
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