72208 (2) 7609 PnDspect Rd
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR GAS PERMIT
Date......-MAY 2 9 19689....----- Permit No...7�.�D8
The undersigned herebyT.paa es appljcal' t tie] PI 6'g Inspector of the City
of San Jose for a per�i�t� allsa�d�ppl�anees�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, Chapter 4, of the San Jose Municipal Code, and
other laws applicable thereto. P�� sjA��I,J�
I certify that in the performance of Phe work 'for which 147-1 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 1/l..•.. .....f .............. ...... ....
ADDRESS .1�r...Q,l.. ...... .. ...... ... _v ...... -
USE OF BUILDING ..._--------- ---w - ;....... ................... .
ETAL & HEATING, INC
FORM 280-20 4/67 10M Signed _........M.ERCURY.SH.E.E.M...._.........._... ..... ------......
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7609 Proapect Ed oerc eta
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