1489 ' /OZI fc I �raoz��i2��F t�-�gi�orNo. �2 /
NO. SiREET �
.' D ,�I,C4� OR PWMBING PERMIT
�' � C T'Y, F CUPERTINO
� �APR 13 �9�62 �' '� > C�
Date , 19��-- . Permit No. � / �/ `
� CITY OF CUPERTIN� Fee $ a� �=��—
� Application is hereby made to the City of Cupertino for a permit to install plumbing
� pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prites
� and/or fixtures in accocdance with the provisions of the Plumbing Code of,the City of
Cupertino, and all other laws applicable thereto.
� Use of Premises �FA{tTMEMT ' ��� ��' "'� '
'a `- � � ' 7�J o�'..C`w�;"A-0 f��R._
,��, � PHILIP RAFALOW, INC. Address SG^�- �a.�,Q,�
� Own�er/ �/� (�n /� a.t
$y .�• � VV. /�Lrun�inr�, J'nc Address
200 CfiStiChd�teucrox, nceNr
—� �Pho�i2mP6ell Calitornia ' Approved
. Phone 371�5660 � P��1MB1NG INSPECTOR
. �
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