1731 (2) V \ \_l"L/c--�C.-•" \'A }�. LOT NO./•�
NO. sTRee
RmAYGAS PERMIT
11CMPF RTINO
Date , cs•'L-`- 19;� Permit No. / 1/
N CIT E CUPERTINO Fee $ 6-0
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
{"',Z 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
' ' PHILIP RAFALOW, INC. s
0, PHILIP
1 Address
um ingr nc
Bye Address
IACTOR, AGRNT I ' t
Pho Campnell, Ca ifornia I ' Approved
•• n., - PLU14BIrYG INSPECTOR
--'C--=--------------
3
OFFICE
COPY
GAS SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
To ---- - .........:......... 196
You are hereb authoriz co ngct the A service for Q
OwOwner or Tenant ...... ------_ . / __ _ ^t om
.,. ------_....__..........
" At.:._ ...::.
---
:.New Service . ..... .... .....`i�„
No. of Meters .-`-------------... Remcinect,'•_::. • '
4,
Move Service
No. of Add. Meters .............. ve�Meter .:........r:.,.�........'
/ r ; PLUMBING I7�I CTOR j'. :
•• ...110 7/61-500 , .I
OFFICE
COPY
GAS SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF .CUPERTINO
To
- You are he y a red,to connect,the A service for
Owner or Te can _
At "--- " - �-----
t. .
No..of Meters ...---....-_-..-..-..--. Reconnect ...-_._-..-._ �-
x ..........
Move
Move Service ...--....---""-----....
No.;of,Add:Meters-:-'J- c.: 'Meter.
LIP
Jy4lry {{ d P s PLUMBING'S INSP C OR
Y10 7/61-500 a ;
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