1658 (2) �J`Ob \ IWCY��•�1LCU Y]LLOT NO. /// — �x .
NO.
® O OR GAS PERMIT
P�
MAY 11 196t .. UPERTINO
DateAPR 2 6 1962 195_ Permit No. 0
---CITY OF CUPERTINO Fee $_�
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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.
c
Use of Premises APARTMENT
in
Ow
ne PHILIP RAFAnnLOW, INC./n� Address �t%w (6��u.Q.o.,
By
C aTGTOR, AGSNT
PhonCampbell, California Approved
PLOMa1NG INSPECTOR i
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