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��,�''�"APPLhUL71 gUN�tFOR GAS PERMIT
MAY 11 19621 1[DF CUPERTINO
Date IE19�150'_ Permit No. /sV fV
LAY U� m�
Fee $
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 *ovisions of the Plumbing Code of the City
of Cupertino, and all other laws applicable thereto.
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a Use of PremisesAPARTMENT -
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`n Owner PHILIP RAFALOW, INC. i Address _P'
By 7AN/�gy �„ .rt/ '� nddre55
200 Cristi LgpLp cTON,ZNP- ,
Phon6am ,hPu ralifornia I I Approved �.
t PL G INSPECTOR
377.5660
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G �_ N•O^ VO n' G 070
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;T I OFFICE
COPY
2AS SERVICE NOTICE
Ij BUILDING ,-INSPECTOR'S+ OFFICE
CITY OF, CUPERTINO
To
You are her<y&auth to c nn ct the AS se ce for
Owner orTe nt .. 1 ----.... . _ ^
At m
New Service --------'/..""..-------
No. of Meters ..... Reconnect -
Move ervice ...... .
No. of Add. Meters ------------- Mo e eter
......- ----- - -----
PLUMBI NSP OR
110 7/61-500