2680 w NO. EEL - LOT NO. .
r o ELECTRICAL PERMIT
1 APR 13 1964c1kR
E CUPERTINO
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O <F Date Wr WWI L.111IIV'U�5— Permit No.
a Fee S/3.5 S
a Application is hereby made to the City of Cupertino for a permit to install electrical
Fwiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
0 o wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
0 City of Cupertino, and al ier laws applicable thereto.
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z_j Use of Pre ises
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3 a Owne Address
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z B _ Address
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CO .ACTOR, AGENT
a o 3yey �_ c�Y/� Approved _
—L) Phone: A ELECTRICAL INSPECTOR
State License: �(� �ULf
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