1608 (2) � C�'�I� �c�c�� l;��eQ�. �m a��.-�•?-
No. sraeer
D �
E��A N . FOR GAS PERMIT
�APR 1 19S? C�OF CUPERTINO
�
Date � 1N , 19� Permit No. � C%
� CITY OF C�IPERTINO Fee� �- �`
0 � 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
� and/ot appliances in accordante with the provisions of the Plumbing.Code of the City�
�`, of Cupertinq and all other laws applicable thereto.
u
°�' APARTMENT ''��
; UseofPremises
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' �n Owner PHILIPq R'A, FALOW, INC. Address . �3 �r.�
� gY . � vvI,,.,/�[um6in Address �.
f15I �p�yB,CTOR, AGF.NT •
Phon�ampbell, California Approved - � �
one 371�5660 � 1 - . P�uMewc �Nseecrox
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