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NO. j STREET LOT NO.
APP C FOR ELECTRICAL PERMIT
[ OF CUPERTINO
Date 62 - 195— Permit No. y�
_ Fee S
Apr o� eNgity of Cupertino for'a permit to install electrical
wiring�a /oNlhxtuSsTstedlon 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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Use of Premi<>< �U _ q l• � � �. .
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.a .'s" , 1 '"1 ...< wk,F.. .Address
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By AddreITT
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CONTRACTOR, AGE
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9 r Approved
Phone: ELECTIbCAVU6Ecron
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