1725 (2) _ LOT NO. /
NO. 5
1 PfI} AIrj"6E0 ! 'AS PERMIT
CITY'OF CUPERTINO
Date n-4 Y OF .CQfWYTIN0 Permit No. / •L�
6�
Fee $
•
Application is hereby made to the Cit of Cupertino for permit to install as, i
PP Y Y P P g, P Pe
and/or gas appliances as listed on the reverse side hereof, and agrees to install saidpipe` +.=i
� 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
,.v PHILIP RAFALOW, INC ) 7
.;.�„
.-'05a;%,Owne Address
By ; Address
rl$iIC}1p�.a�pcTOR, AGE. T
am bell, California Approved
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:'PhorC o _ .
hone 377-56 _ Phu MSING INSPECTOR
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