1491t
NO. STA
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..Zg O' t FOR PLUMBING PERMIT
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-flFi CUPERTINO
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Date 95_ Permit No.
S�
CITY OF, CUPER TlNO Fee $ 7 —
ci Application is hereby made to the City of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on the reverse side hereof, and agrees to install said,prices
,and/or fixtures in accordance with the provisions of the Plumbing.Code of the City of
Cupertino, and all other laws applicable thereto.
s_
. � Use of Premises APARTMENT.,
a 7a 7
PHILIP RAFALOW,:INC,`
.Owner s AddresL,
h' r�4-y{ a mA
By;.. L Address
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Phaeie Cristich Lane . .l' Approved
Gamell,:Californie PLUMBING INSPECTORS 'Y
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