2279 'No.- STREET' - LOT NO.
APPLICATION FOR ELECTRICAL PERMIT
CITY OE 'CUPERTINO
Date 195— Permit No. 211
Fee $/f
Q 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.
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CONTRACTOR, AGENT ,
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