1727 00 LOT NO.
NO. sTR LICA 1 N, ,, ,R'GAS PERMIT
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E�':f MAY 11 4�'o� ERrINo
Date1 r}; '.;l Permit No. / 77 7
I( � ���� $•�05
Fee �7
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.
4L
Useof Premises APARTMENT
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Owner 7 PHILIP RAFALOW INC I Address
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By —7 �a 9A/ /�G.._.L•� ' Address
�- 200 Crislicff,e5h'�1ACTOR Ac.kA``-� -' /
Phoilo c l l Approved
PLUMBING INSPECTOR
37)-SEER'
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