1715 Y LOT NO. /
No. APL O OR GAS PERMIT
1'
C�1+ MAY 1 119ffY ,CUPERTINO
I Date ULUUPL1{TI o2 Permit No.
Fee $•�
Application is hereby made to the City of Cupertino for a permit to install gas pipes
and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes.L2
\ and/or appliances in accordance with the provisions of the Plumbing Code of the City
of Cupertino, and all other laws applicable thereto.
u
,Use of Premises_,gPAR7iyEpl.
dHILIPRAFALOW, INC. , }..
in QOwh + Address
nr�
Ciim�i` Address'
fIS1U�FJ4®L♦,eTOR, AGENT.• I .'I .
Cam A' rove
>tphone PbeII, Californi pp pLUMBWG INSPP.CT
one 377.5660 d:a
n'L1 z
Oft M 0 t-1 �i n
O. ❑ o O. rt rt O . '�1 d 'T1 7 H w'pp
0,
^ m
o -- 9 0
y - ---------
+•N' N i ..
4.
k
yea i .rY^• .r F' rp
..a �
n
F
p p :. `/.tet ' f �r 4L"�t:A_��• � � .
--------$;I
O