1633 (2)u FOR GAS PERMIT
CITY ` .CUPERTINO
' 1 B2
�6 , 195_ Permit No. &3
Fee
o CITY OF CUPERTINO Cc
$�
Application is hereby made to the City of Cupertino fora 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.
c '
_ Use of Premises AWTMENT e- 3
PHIr.!P RAFALOW, INC.
i t� �(in a iOwner i i" 1
t '200-Grisf Ich WPACTOR, AGRNT 11 Fi �
phP"ll California
P•tione 377.5660,