1615 0 C) >. L/_ J.(k l loi RCTU rbT bTo� 3
NO. STREET
APPLICATION FOR GAS PERMIT
® 4ITY OF CUPERTINO JJ ''
Date 1962 ,0 _t Permit No.. (-4
3 1962 °
Q Fee $
(yt hptg4 e to the City of Cupertino for.a permit to install gas pipes
acid/or,gas app ianc 14reverse side hereof,_and agrees t6,install said pipes
5 V;• and/or,apfhances,,in,�acco�ance��the provisions of the Plumbmg,Code of'the City
1G a:"oft Cupertino and;all other laws applicable thereto „ '�-vk
APARTMENT
`Use of Premises" t,
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DHtLSP RAFALOW, INC., 7 V'-
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Phon@ami 4' I", 'Approved
bill 6dl"f..." A t - ;"I" ' PLUMBING tNSi;E&OR
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