981 NO. STREET C - LOT NO. 13
APPL oTIONFOR ELECTRICAL PERMIT
ii CITY1 tOF}, CUPERTINO
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Date j1 '� 196! Permit No.
nqi �oF CUPER` INO Fee $ a
Application is hereby made to the City of Cupertino for a permit to install electrical
wiring and/or fi ytures as listed on the reverse side hereof, and agrees to install said
;wiring addor_fixtures in accordance-withthe provisions of the Electrical Code of the
City sof Cupertino, and all other.laws applicable thereto.
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CONTRACTOR, AGENT
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