16936
No. ® BF �L 4N #OR GAS PERMIT
�:'MAf O UPERTINO
uc:. .
Date APR- 195 permit No.
LIY�U+G1�RTINO Fee $�
Application is hereby made to the City of
and/or gas appliances as listed on the reverse
V and/or appliances in accordance with the pr
of Cupertino, and all other laws applicable th
u
f ' APARTWN?..:
Cupertino for a permit to install gas pipes
side hereof, and agrees to install said pipes
ovisions of the Plumbing Code of the City
ereto.
Use o Premises
^' PHILIP RAFALOW; INC.
in + Owne Address
By�BB tri Jam,.AGE N1
Jat9t,.,.n Address
C,T0R,� .� r
Ph'onCampbell,�ali orma i.Approved
PLUMBING INSPEC O
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