1669 LOT NO.T
NO.
® ACGAS PERMIT
11 190'CasiCUPERTiNO
Date 19L�l Permit No.
CITY Ci CUPERTINO 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
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 APARTMENT
a �
V) Owner PILIP gR�A�FA/LLOW, INC Address 7
By I V. /Omar Address
J3.
- 200 CiristiWINl[$tt$TOR, AGENT
„ Phone Campbell. California Approved
'� AUMWNG INSPECTOR
Phone 377-5660_ _ __
C) Z
r
o ie � ro m
IN
---- --
ro ?.
E ro
3
I n