1657 (2) 8
LOT NO.
AP .. ION FOR GAS PERMIT
ef �IAY A A OF CUPERTINO
Pr `-
DatLUID01
ffiT 0195_ Permit No.__�l�J
oQ
O Fee S
1\11% 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.
Use of Premises APARTMENT
v Owner PHILIP RAPALOW, INC.`' Address ?cAvs._ Thiu '
'ByAddress
200 Cr15F"i'ffe O" AGEN r
Phone f a h, Approved
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