1729 (2) -go 1.
� � a �� � c� oo LOT NO. /3
NO. STREET
�--- OR GAS PERMIT
® ClT U UPERTINO
MAY 1962 Z�
Date , 19 i PermitNo.'
o'c
o
CITY11: CUPERTINO Pee $ a —
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.
Use of PremisesAPARTMENT
c
DAFALOW. INC. ocG� rL'6
,I^Owneer7 15HIt 1D I 't ; Address
"; a.r�� 5'?'By • �' //I/ nQ,.,,�:..,, 9__' I Address
200 CriSticffP9MACTOR, A J /
tot A` rove i
:Pho(emi,nell California ;.1, : PP
i, �- '..Ir Wn 3Y7-5660 t t PLUMBING INSPECTOR
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