1620 (2) NO. STREET -
J
yA�Pti�L1lON FOR GAS PERMIT
® � CUPERTINO .
Date Permit No.
00
AppI ��// (�[ �p[�'��p�/� Fee $ -•X - -
c�tdon 1/�4lerer�,hSaNdkltHd Gty 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 Premises APARTMENTsc-✓ o 0s,1
C •�4`7���Owngr'PHILIP RAEALOW- INC ;i Add
By �. �AI•�lfc�adrng,�Q., ' Address. .. 4 • t ..
t200 Cr st cfCLfd $AcroR, AGBF r `�
; T .
Pho*amphell C I Approved
I:x., alifernie
I PLUMBING INSPEC
Phone 371.5660L_.__ '"`
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