NO PERMIT NUMBER //0F3 �'y.A/ygAJ III-C714. d� C/
LOT NO.
NO. STRUT
CITY OF CUPERTINO
JUN 9 ' 19APPLICATION FOR ELECTRICAL PERMIT
Permit No.
Date ,19_ Fee$
1 T /
Application is hereby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino,and all other laws applicable thereto.
Pnof G,�sc4 �L� Work To
Pnmises<y/' /�//I � Performed F n
Owner '/�TEW�'Y Addrns4A6 rt) �1 r�✓CA/S !i1,y 'r.,/ �.e
Phone .25-7--2 6-7 Y
Rcico Electrical Contractors, Inc
SY Address . 1
Contractor,Agent
Phone .:2.�-6-,1010
State License G10 759300 Approved
Electrica nsp for
I AGREE I WILL NOT VIOLATE ANY OF THE WORK N'S
COMPENSATION LAWS OF THE STATE OF CALIFO
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