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1738 (2)LOT NO.� NO. ® 4 �{{{jjj OR GAS PERMIT MAY 11 199 UPERTINO Date ���-�--1 1 195 Permit No.- CITY o. CITY O.. CUPERTINO .. Fee $- 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 L 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 A '.Owner. kLIP RAFALOW, INC. t_? ;,;Address 11&' By `Address '• ' �- .. ' 60� V�IJllbll 7OR, AN .N�r ..._w •... ti%?'. Phone Lem' Approved }„• I;b.ii Calif.61Tu7a , ,I ± k,I PLUM BING'INSPECTOR p'"cr. -?^T corn n C D^. G �_ G N w W '�"+ .,. ^N tz Oro DO n