2741 NO. STREET LOT N
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<m Application is hereby made to the City of Cupertino for a permit to install electrical
r I wiring and/or fixtures-as-listed on the reverse side hereof, and agrees to install said
0 o wiring and/or fixtures in accordan<c with the provisions of the Electrical Code of the
> City of Cupertino, and `cher laws applicable thereto.
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AfLELFCTRICA-
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iL State License:1O1,1,2O
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