1735,fD / V��' ✓K LOT NO. C� NO. STREE
fCT FQR GAS PERMIT
,MAY 11 1962c1 "tF CCiPERTINO
"QW, Permit No.'Z 736-�
CITY E CUPERTINO Pee S_
Application is hereby made to the City of Cupertino for a permit to install gas pipes
and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
and/or appliances in accordance with the provisions of the Plumbing Code of the City
of Cupertino, and all other laws applicable thereto.
Use of
Owner PHIII AFALOW INC + Address (LOu- (4Cd �
u/(�/1
/'"`urre1ina _9 _- Address
By-200
cn
'ba@BOR, AGENT
Campbell;.California I Approved-
Phone—
t'hone377-5660 PLO SING INSPECTOR
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