1622 (2) IVI(�i(yi 1(�L��Xit— 1 X•Jf f}n � OT NO. �� .
NO. STREET
�APPLICATION FOR GAS PERMIT
/o RCUPERTINO
1Date 9 1962 - Permit No.�l
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Fee $
\�'\ A���ayon�i �ier b,'ff � Gity of Cupertino for a permit to install gas pipes
and/or gas appliances as``li**ste'd�'on t e reverse side hereof, and agrees to install said pipes
�y _and/or appliances in accordance with the provisions of the Plumbing'Code of the City
of Cupertino, and all other laws applicable thereto.
,..R I/ iLu".. � •. .
Use of Premises APARTMENTJ e '�'C`:Yli•ix4�•
n,y Owner PHILIP RAPALOW, INC. .Lwl
c7 Address
a �; i!$Y.'�";`.s.".t• Address
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ff ; ;PhonEamPhell. Califnrn'a Approve
PLUMEING�INSPECTOR'"
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