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1727 (2) 00 LOT NO. NO. sTR LICA 1 N, ,, ,R'GAS PERMIT /��PP E�':f MAY 11 4�'o� ERrINo Date1 r}; '.;l Permit No. / 77 7 I( � ���� $•�05 Fee �7 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. 4L Useof Premises APARTMENT ` n Owner 7 PHILIP RAFALOW INC I Address ! By —7 �a 9A/ /�G.._.L•� ' Address �- 200 Crislicff,e5h'�1ACTOR Ac.kA``-� -' / Phoilo c l l Approved PLUMBING INSPECTOR 37)-SEER' 7 ro o w O > n z � A _ GC