1723 (2) N �6
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NO. STREET
GAS PERMIT
CITY PERTINO
MAY 11 1962
1 Date 19 _Permit No. �-
o CIT GE CUPERTINO Pee $ .2A'
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/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" Owner PHILIP RAFALOW, INC. I Address _
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. , ..:�•'±By (J��,-. saia �� _;-Address
2OO•Cfl$1f�4NL�MTOR,AGEN9� ¢ VV
Phon&Campbell, California •J Approded
PLUMBING INSPECTOR -
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