1667 �C] SCJ C� Z CA �t XA_. Wl-C9 Qh LOT NO N,
NO. STREET '
ER
Ll �l R GAS PERMIT
CITY' 'UPERTINO
MAY .11 1962 // /
Date , 19 _7/ Permit No. 166
o CITY 09 CUPERTINO Fees
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
and/or appliances in accordance,,with the provisions.of the Plumbing Code of tlie.City .
\ of Cupertino, and"'alVother'lawsapplicable thereto.
Use of Premises APARTMENT.
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� ' Owner PHILIP,RAFALOW. IN Address .
n Address
-Y2OO Ctl$bohK> TOR, AGE T I
Phond;amobell raliforniaMJ ' Approved
PLUMBING INSPECTOR
Phone 3775660
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