1677® APLii'TY
ION FOR GAS PERMIT_
/ mAY 11 1962 OFCUPEILTINO
1
APR 2 6 1962
Dakg - 195_ Permit No. " /6 7!%
l� TY 1 co
Fee $ s
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
and/or appliances in accordance with the provisions of the Plumbing Code of the City
of Cupertino, and all other laws applicable thereto.
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c
Use of Premises APARTMENT
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In Owner FIHILIP RAFAIOW, INC: .v.�nn ^
'Address SQY�o
By .Address
200 CristifQ HjtCTOR� AGENT:
PhonCatn,Tbell Calitnrnia Approved
LUMBING INSPECTOR
Phov 377-5660
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