1660 &c)bU �J�/CX�- ' _ L NO.
NO. STRHHT Q
(CATION
(fNFO GAS PERMIT
�'f tfff IgTlg% C TINO
APR 2 6 1962
Date GUf� VINE Permit No. �
CI Go
Fee $ ,2
Application is hereby made to the City of Cupertino for a permit to install gas pipes
O� 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. ,
v
c
Use of Premises APARTMENT
v � a
�n .Owner 1LID RAFALOW, INC-.�l Addresse�+.�c��.1n
B urn�in�r .fin -I Address
y-�(}e- I TOR, AGENT I
Ph: eCampbell, alifornia 6 i Approved
I P UMHING INSPHCTO0.
o L° t1i
C 47 9 R
IT
o °
N m N
E
ti
N N
m .
^y nl rwi