800 LOT NO. ,
NO. STREET
APC '
OQ�`Lt6cR �6►PPLAC9 PERMIT
CITY P LIPINO
APS MAy 1.1196
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Date__ 962 196..... Permit No._ �/yo
�( CITY CE CUPERTINO' Pees 1,5�
�p Application is hereby made to the City of Cupertino for a permit to install
gas appliances as listed on the reverse side hereof, and agrees to install said
�y appliances in accordance with the provisions of the Plumbing rode of the City
\ of Cupertino, and all other laws applicable thereto.
Use of Premises_ APARTMENT ':
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n Owner PHIILIPRAFAL/OW INC. I Address
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$ -YCC7 Vt/. Carn�in
y nstjepglcro', nceNr Address_ _
h068
PI:orlEampbell, California Approved
" ' . Phone 377.56601 �' I ' i 1 i L6MBING INSPECTOR
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