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1679 (2)i6 MAY �►PPC,A �N FOR GAS PERMIT /+ I q /11 �"�u�tLCI OFCUPERTINO �/ '7 Date CIT`PP Ii�'��'>:7�1P&M. JD5- Permit No. 6 7 Fee $ -� r+ " Application is hereby made to the City of Cupertino for,a permit to install gas pipes 'a' /or gas appliances as listed on the reverse side hereof, and agrees to install said pipesz 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 APARTMEN _" `"" . . in - iOwneil A LIP RAFALOW, INC. Address Addres 200 Cdstic4rtWWrod;'AcE" .: PhonLCamohetl (.a0forni8 ' �.`i..Approved �Phone 377. LUMBING'INM1PECTOa v AN 5 r