82147 (2) $075 Park Villa Circle
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR GAS PERMIT
Date....-FEB --1
. . J1._ 72----.....-- 19._...._. Permit No..CL... :1-517. ..........
The undersigned hereby m� es �ppkc tion.toAt ed Plumbing Inspector of the City
of San Jose for ai�rifo�in%tadsdid.appliagfQs ano�as pipes as listed on the
reverse side hereo and agrees to install said appliances and/or pipes in accordance
with the provisions of Article VIII, Chapter 4, of the San Jose Muni ipaI Code, and
other laws applicable thereto. � �� j J/
certify that in the performance of the work for which this pe" `rmif is issued
shall not employ any person in any manner so as to violate the workmen's com-
pensation laws of California.
OWNER-MACKAY HOMES-----------_ - -
/ - o�....... ....................p ....
ADDRESS.(tOJ _.l�U/!�{F-.-/ L�L ..GUcf �.............. LOT NO----4/-----
USE OF BUILDING RESIDENCE
... .....__...._.._.........-- -.. .. - --- ......_..
MERCURY SHEET METAL JO//f��El
280-20 (Rev. Apr. 6'+I Signed..... ....J�.-c .. ........ .. .
8075 Park Villa Circle Mercury Sh t ' etal
Type of Appliance No. Remarks Check \/)
New7Replaceocatc
Gas Ranges
Wall Heaters
Gas Plates
Circulating Heaterz
Blower Furnaces
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces
Suspended Unit
Floor Furnace
Automatic Controls
Flue and/or Vent
Hood and/or Duct
Clothes Dryer
Permit Fee
TOTAL pp
FEE _
Inspected and Approved.), :a-?)—By
HOUSE GAS PIPING
Number of Oufletsi Size of Main
FEE
Tested and Approved By