1779 /0 rr Z- aJ
NO. STREET LOT NO.
Ii6A tg
QR ELECTRICAL PERMIT
t�• �r� 362J F CUPERTINO
19 1`7 79
Date UPI
�g� RR Z Permit No.
U 9 tI R�r uUPE r H11 Fee S Z
Application is hereby made to the City of Cupertino for a permit to install electrical
\ wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
h wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
iIM
City of Cupertino, and all other laws applicable thereto.
1r
Use of Premieq
'l
en, - �- �' , Address
i nom_ s o Address &JA1 O.0.
vrs y:
CTOR,wAGENT "-
- '.. Approved
Phone" .4X' G, S k 2.d- LECTRIUIL a PECTOX
ilk
0 Z
b 0 0
0
i o
0 0 0 0
6iI Ow
I a P.P.
U
2; 1 zl of i t i V
t o u
i i i x i j
w 44
0
'r
� � � \ \ \ } \ {� � � � �
� � � %/ ( � �� \ / §
( \ ��w� { \ � ' � ' ?/ �®
j � /����
H
0 0 z
-40