1619 (4) NO. STREET l_
IC - FOR GAS PERMIT
® CUPERTINO
APR 13 �
1962 A�
Date—APP _ Permit No.
CITY
OF CUPERTINd Pee $ a
Application is hereby made to the City of Cupertino fora permit to install gas pipes
and/or gas appliances as listed oothe reverseside hereof and agrees to install said pipes'
and/or.apphances yn�aecotdance;with the provisions of the4Plumbmg Code of the City,
N of Cupertino and all`oth&Ai s:app icable thereto ter.
•UseofPremises APARTMENT_� +i;'r
yin • Owner.P.HILIP RA'PALOW, INC i.'-x, Address c,
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am California r, Approve
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