1629NO. MEET
® f �VN FOR GAS PERMIT
II F CUPERTINO
APR 13 1962 i
Date i
Petmt No.
rt — 1
p0
CITY OF19CUPE�iTI�V Fee s_ —
Application is•hereby rna a to heOCity 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.
" Useof Premises ADAQTMPNT �T
i ""i.. PHILIP RAFALOW, INC. ,
;'•:"Owner �' A
'1 .�_` cVu l,li$IICI�CbI+ITdACTOR, AGENT � f."
Plioi+2mPbell',.Catitornia�
r••.. • Phone 377-5660. � f
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