1626 (2)NO. STREET
FIA4%,1131962 GAS PERMIT
CITY O ERTINO
Date APR :f ,. 195_ Permit No.
CITY OF CUPERTINO Fee $_�.
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. ..
UseofPremises 4PARTMENT
ya,PHILIP RAFALOW, INC.
A
PLUMBING
"Phone 377-5660 ®
IV
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