1528 NO. - STREET LOT NO.
ELECTRICAL PERMIT
� cICUPERTINO
' 7 '�V�
,y AUG
Date —, 195— Permit No. 6--n
CITY Of CUPERTINO Fee .aa
Application is hereby made to the City of Cupertino for a permit to install electrical
v 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.
IT City of Cupertino, and all other laws applicable thereto.
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a, Use of Premia -
i 'Owner Address'�b4 / L+SGa7uu5 .
f . y 'bre Addr s 4l/. "5'
CONTRACTOR,.AVNT
Approved
Phone: GHS"14�Ste` cTB[Ur..tNyppCrbl
$34
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