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, I NO. STRBHT � '
,�� � �,,_P '�C� ON FOR GAS PERMIT
�°�-'�""�� I�` OF CUPERTINO
��APR 13 1962 u �i
Date , �195_ Permit No.�_
Y�
� CITY OF CUPERTINO Fee$ .�
� ' . Application is hereby made ro 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 Piumbing Code of the City
� of Cupertino, and all other laws applicable thereto. � �
u
u
" Use of Premises APARTMENT ' � �
`� �a� �
�n Ownerc 7P�HI,L�IP RAFALOW, INC. , , Address ��., ����
BY�c�yp•y���������' �"md`��� �n ' Address
'"'COIVTR,SGTOR, AGHNT ! I '
Phon Camp6ell, California � Approved �-- �
• OOQ - ' � PLUMBING MSPHCTOR
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