989 NO. �$TREET 4 -� LOT NO.
it APPLICATJRN ELECT '
CITY OF CUPERTIN
�/ MAR 6 1961 �'��
Date 3l Of,
NUr E�TINO. ()
1"c,r` Q
Permit No.
CITY OFy PWWW
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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