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76274 (2) 4 4rttAaj6nyva L e Rd. BUILDING DEPARTMENT k APPLICATION FOR GAS PERMIT Date----------- ..Z......-....................I 8�� Permit No..-- .L - The undersigned he by makes a li do o, a bing Inspector of the City of Sen Jose for a pe /or gas pipes as listed on the revere side hereof, end a ree: to install id�pliances end/or i �n�n accordance with the provisions of Article VIII, Chap ofW9jJ�✓/ Code. and other laws applicable thereto. OWNER .......... / '! 4=..........GQi{!!5---------------------------_---_------------ ADDRESS ......--------•--•---------•-----.......-----_. USE OF BUILDING -..-...... /V yOS�L�SS ---.. 2� Foran team Signed --... -------- ------------- KI� L655 Saratoga Sunnla1'e12d. ' Zn e st�7umbirg $ me ' p 0 m m 2 3 o 3 i o m m c' T o a CL So � O p 0_ C 1 � pCL m n m T m g N m S a H < " Irpz Z1 Z m A � o � m ' 3 m m N O m n S 0 I O