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111 MEMO LEWIS
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LOT NO.
GAS PERMIT
Permit No. - �(D /
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Fee $
Application is hereby made to the City of Cupertino for a permitto.install gas pipes
and/or gas appliances as listed on the reverse side hereof, andagrees to install said pipe's
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
PHILIP RAFALOW, [kc.,,- Address
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- - OFFICE
COPY
GAS SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
1, -CITY'OF CUPERTINO
------ -.... a� 1 �_ .:..-- :..
To - p 196.
-. '- III
You are h eby, au ho ' to connect the S ervice for
Owner or Tenant ------------
No of,Meters :r --------Aeoonned ................:..:.. .•
Move Service
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N.
PLUMBING INSPE O
110 7/61-500