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2602 79,9, -tea ex-e"�. :+�-�, KO. RE LOT NO. r o ® �PCIC'ATt FOR ELECTRICAL PERMIT . < !:e 11. 21 1964c1 of cupexTlrao 3U L W W V 6�— o0 Date *' -Ine Ilr�� Permit No. a Fee a V) Application is hereby made to the City of Cupertino for a permit fo ifistall electrical W wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said 00 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the 5 City of Cupertino, an other laws applicable thereto. ZJ Use of Premises t� OW/{,y/L 3 < Owner Address — N w w By _ Address CIATRACTOR, AGENT a o �y� Y Approved —l) Phone ELEAL CTRICws"CT02 StateLicense- e t a a C'/ ' - -t 2 � \ � } ( / \ � : � / � \ ` 7 0�z .04 I � } ) \ § j \ �j\ � y . :00 a / / / ) } { : � � : + f 2 q\\\t o