1576V (NOI 0.I C1 Ci YL.A� v���. .-_O. STREET LOT NO.
4PI�F�OR ELECTRICAL PERMIT
® CI F CUPERTINO
AUG 9 1962 .7 �
Date , 195_ Permit No.
Apfftbn QherEqTth'T City of Cupertino for a permit toinstall 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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I, .the undersigned do hereby ce tify that ill
I m the ownergand.oc u ant of h side
f ni Ihd lin at D
f hie am making app icatiorr o o �
work as a homeowner.
a so certiy F. I 11 not hire any
non-licensed r contractor,
but will do thi wor myse f.
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TKIA"PHONE- NUMBER IGNA