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STREET
P TION FOR GAS PERMIT
® OF CUPERTINO
Dat PIl 962 195_ Permit No.
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CATp7' P QYRb RjIJ Q Fee $ ,2
ICa on Is e e.City of Cupertino for a permit to install gas pipes
C� 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
r "' PHILIP RAFALOW, INC.
F, ;7 . 'Owcn7er i Address d.
Address
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