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STREET LOT NO.
CITY OF CUPERTINO
APPLICATION FOR ELECTRICAL PERMIT
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<w Application is hereby made to the City of ,Cupertino for a permit to install electrical
W I wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
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0 o wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
> City of Cupertino, and all other laws applicable thereto. ��!!JJ
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Use of Premises
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O 1 'CONTRACTOR, AGENT
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State License 1 �L 8--L-
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Cl" 0vtat vAo Street CITY OF CUPERTINO Lot No.
N%()V %k %%"APPLICATION FOR BUILDING PERMIT
Da �[� _ Sanitary No.
. P , 19� � Permit No.
Y 'E Application is hereby made for a permit to/iUST)'PLL/,.
3 = a story,Type �X 9" STr-' Pe/4-sne Building
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to be occupied only as in accordance with
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o °.-' Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee
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Estimated Value of Improvements,$ O O Fee$ �
6 o It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
> 3 all other laws applicable to the construction, location, and ule of buildings within the City of
o 2 Cupertino will be complied with.
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Owner
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State License 3 � ilding nspector