1703/iiif �! (�Z/I-, rP i(�
LOT NO.
T �
ON FOR GAS
PERMIT
OfAPPLIC.
MA� �96 F CUPERTINO
L 66G„���'194�V
Date Permit No.. l ��
CITY 1 C PERTINO
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
`p
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'
l
r PHILIPINC. _ Address
Owner
f�V. 'RAFAIOW,
. & guinlin r Jpne Address
By -7.
I
ZUU ristichdMtRACTOR, AGENT
phtnpbell, California a Approve
_
PhOn 77-56
PLUMEING�9 ICT