1907 NO. STREET LOT NO. 41ST
P"A FOR ELECTRICAL PERMIT
V C �OF CUPERTINO
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Date SFE'x,1183 156 . Permit No. _ 12:1 Z
A(Q��/ ((���� /��� Fee
ii'alioril9-he%PM-flNA,--ity of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on 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.
u Use of Premises '�r/ '
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a Address
By / f Address
CONTRACTOR, AGENT
Approved
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Phone: //�•�'G C� E [ viSPECIOR "',
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