NO PERMIT NUMBER TEMPORARY ELECTRICAL SERVICE
DAT17: ---------- Fee:
..........................
........... .
OWNER:...--. /iL(�
AT: ------------------ ---Cx
LOT: -.1*1
.. . ...... .......... ........ -----------------------------------------------------------
REASON: ........4.... .
The undersigned agrees to be responsible for the electrical service at the above location,
until the building is ready or occupancy, and is released by the Building Department,
City of Cupertino. Phone ...
.... ...
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116 1/63-500 INSPECTOR TENANT OR OWNER,,jW