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"a7ttT NO.
NO.
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1 J 7""--P 0A!rl jFOR GAS PERMIT
MAY 11 1967ICUPERTINO
1 19_� Permit No.
O� U TINO Fee $
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 PHILIP RAFALOW INC I
200 ririctlr TRncTOR, A PNT CL
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PyVMBING INSPECTOR
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