1720 Ax
• .NO. STREET
® Z►_. O FOR GAS .PERMIT
CITY F4°CUPERTINO
MAY 11 1962 k
Date EZ-t-. 1 Z Permit No.
0
CITY CUPERTINO 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.
*Use of Premises ADARTMEISIIT T
t-' n Owner0HILIP RAFALOW, INC. I
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Address
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-,By l t. �ALpI2�p0,. L:__ Q. i Address•
200'CristICI�mLEIICACTOR, AG.NT
'PHOIO:irlphell Califernie I i Approve '
PLUMBING INSPECTOR
Phon_r-377-5660 -- ... ..._•,
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�® GAS PERMIT
MAY 1 lcfflpFERTINO
Date Al'N
' Permit No. 1 �'UI " -
® Fee $
Application is hereby made to the City of Cupertino for a permit to install gas pipes
and/or,` appliances as listed on the reverse side hereof, and`agrees to install said pipes
\-p and'[onappliances in accordance with the provisions,of the Plumbing Code of the City
.,."of.&u rtino, and all other laws applicable thereto:
APARTMENT
Use of Premises �'�v7 @ 9 Q ,
:e. PHILIP RAFALOW, INC. 7
•,'w,, Owner Ai. t Address - o
Address
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Y 200'Cristic�rortc , nGE�bdi: .n�
Photteam 6rll Califerta s I Approved — '
• PhCne PLVMin INSPa TO
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