1738LOT NO.�
NO.
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�{{{jjj OR GAS PERMIT
MAY 11 199 UPERTINO
Date ���-�--1 1 195 Permit No.-
CITY
o. CITY O.. CUPERTINO
.. 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
L 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 APARTMENT
A '.Owner. kLIP RAFALOW, INC. t_? ;,;Address 11&'
By `Address '• ' �-
.. ' 60� V�IJllbll 7OR, AN
.N�r ..._w •... ti%?'.
Phone Lem' Approved
}„• I;b.ii Calif.61Tu7a , ,I ± k,I PLUM BING'INSPECTOR
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