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1706GAS PERMIT y�I Date CITY U- 1`IW Permit No. /7 e E Fee $ Application is hereby made to the City of Cupertino fora 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. y c Use of Premises APARTMF t '7 aq �n Ow ne PHILIP RAFALOW, INC. i 1 Address �- tm —qq�n [um�in 9ne j Address By l.(I$ ICACT00., AGENT Pho Cam, bell, California I I Approved 5560 E....ING INSPECT �Y z n'