2135 10555 Orange Tree, Lane 26 Plan. 1420
NO. ET LOT NO.
®�kPPLICATIONELECTRICAL PERMIT
'JAN 24 196QITYPO'F'CUPERTINO
Date !'1T ar Iii IIDC TIA11"9 L3 PermitNo.
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Fee S ��
Application is hereby made to the City of Cupertino for a permit to install electrical
N wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
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wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
N
PCity of Cupertino, and all other laws applicable thereto.
Use of Premi eg residence
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Owner Address Sunnyvale
By W r, WANDERER Address
GOitriGtCffiR,Rcsx3
SUNNYVALE. Cp.+ Approved
(�„ Phone: ` . _ E ([m— MSPECTUi
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TEMPORARY ELECTRICAL SERVICE
DATE: ---------- ...... ------------ Fee: 5-0
OWNER: ... ... .. .......................
AT:
LOT:
AUG29 969'
REASON: -----
..... ...................... ...........................
The undersigned agrees to be responsible UTYC ecofricCl UPERTtRe'Cabove location,
until the building is ready for occupancy, and is released by the Kidi�ng Department,
City of Cupertino. K
Phone
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. .. .... ...... .. ..
INSPECTOR
116 1/63-500 TINAN OR 6WNER