1666NO. STREET - ..
Rl Pj ';. Td� FOR GAS
V CITY 1, F'i CUPERTINO
1 1962['
LOT NOf �
PERMIT
Date , 19 / Permit
CITY OF CUPERTINO
No. 1666—
Fee
66S—Fee $-2
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
Owner_PHILIP RAFALOW, INC
_
By -7 & W. 9f, I. 11 i
ns
ZOO Cristionp*TOR, AGENT V
Phonf.Camobell California
60%-, 3'7.5660
7a7 cs.uCua-
Address C . "
Address
Approve
P MBING INSPBCTOR
a
C