1632NO.
ATION :FOR GAS PERMIT
® n,95—
OF CUPERTINO
Date Permit No._-1�
O � Fee $TY is hyERT(bkCiiof Cupertino fora
permit to install gas pipes
. and/or gas appliances as listed -on the reverse side hereof, and agrees to install said pipes
V and/or appliances in accordance with the'piovisions of the Plumbing Code of the City
of Cupertino, and all other laws applicable thereto.
v
v
:a Use of Premises APARTMENT � a
.i . 'Owner PHILIP RAFALOW, INC.
201j �fl$}I�h �tl11tliACTOR, AG`hNT
Piio pbaA Galifernie I-
Phone'377.5660
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HP
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