69807 (2) 841 Stendhal
CITY OK" SAN JOSE BUILDING DEPARTMENT
APPLICATION
//FOR GAS PERMIT
E p
Date...... . . ./L?............. .. 147 Permit No. (�- �0----- .....
The undersigned hereby makes application to the Plumbin Inspector of the City
of San Jose for a permit o e� ipes as listed on the
reverse side hereof, and agr es ns sai ap liances end/or pipes in accordance
with the provisions of Article II, Chapter 4, of the San Jose Municipal Code, and
other laws applicable thereto. Mu
I certify that in the performance of fhe/ oefor v�cWis? eri hiis
ued I
shall not employ any person in any manner so as to violate the workmen's com-
pensation laws of California.
OWNER /L ...,T..�1�?Q,a/R/tu12. 1 .................... ................
ADDRESS .�y�.-..STtZVA.11G L....................................................
USEOF BUILDING ._. .e.S............ ..y...�....................................I.,.............
FORM 280-20 4/67 IOM Signed ............... �✓....., ............
841 Stendhal
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