2682 No. STREET LOT NO. /�i
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r g ELECTRICAL PERMIT
X aI CUPERTINO
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?APYR 13 964
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,F Date I `195_ Permit No.
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U) Application is hereby made to the City of Cupertino for a permit o install electrical
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r F 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 m City of Cupertino, and ther laws applicable thereto.
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—0 Photic: � ELECTRICAL INSPeC703t
State License; D C"
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