1523 (2) pcQAoI\ C'- N( IP -.1—a 57" LOT NO.
NO.
STREET
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BING PERMIT
E4 1M
�tY CI F CUPERTINO
�MgS�Y 11 1962
Date r+r^ 2 6 1962 195_ Permit No.—
CITY -OF
o.CITY 'CE CUPERTINO Fees 7
Application is hereby made to the City of Cupertino for a permit to install plumbing
(� pipes and/or fixtures listed on the reverse side hereof, and agrees to install sa prices
and/or fixtures,in accordance with the provisions of the Plumbing,Code of the ity of
Cupertino, and all other laws applicable thereto.
Use of Premises_APARTMENT �L
~' 7 d '7
a,
Owner PHILIP RAFALOW, INC. Address Sri CC�a �a
By �� U nen _ Address
O TRA"CTT. A6Ecffl"c•
Phage�rieC• chFaP a APProved
PLUMBING INSPECTOR
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Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
[/Sewer Connection Sanitary Permit No. ---c -7�
lambing Final 'Plumbing Permit No. ....(.��_�--
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Owner or Tenant
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Date Connected
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LUMBING INSPE R
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111 7/61-500 � - _