80174 (2) 7475 Prospect Rd
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR GAS PERMIT
Date-- v(.vc`.4.-..7--................... 19... Permit No v y
The undersigned hereby.,makvs-appli ion�to;t P�u
� �kiing Inspector of the City
of San Jose for a pe&etoZinnsst,alltaid appliances and/or•gas pipes as listed on the
reverse side hereof, and agrees to install said appliances and/or pipes in accordance
with the provisions of Article VIII, Cha to A. of the San Jose Municipal Code, and
other laws applicable thereto. �'
I certify that in the performance of the work hor w ich this 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._f�_n . .E..� YL.A]_� 7 [.^.(............... _ ........................................................
ADDRESS......71I*f ---- f f2_C.L�7e�:T...�i ........... ... LOT NO...�.....
USEOF BUILDING......... ..nn.........__...............,_/.._................_..............
280-20 (Rev. Apr. 69) Signed
7475 Prospect Rd S r� L & L S/M
® � z f 0 m m > m
/ ƒ %) / \ _§ � � � § ( \ } § i
> } \ / ; G � \ � \ � \ ( � � 0 }
m ; - _ -
�
} \