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1781 )0302- I � Lj ,.NO. STREETC7 LOT NO. C PT= R ELECTRICAL PERMIT CIWF CUPERTINO 11 +NOV 2 33962 t 7 Q Date 2Z 0 , 19K Permit No. _ L U INTY fir Fee S IS—To Application is hereby made to't[W 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 wiring and/or fixtures-in•accordance with^the-provisions of the'Electrical Code of the_. : City of Cupertino, and all other laws applicabl ereto. Use of Premi a } ' V .4 Owner Address In By . "a Address / 4� OR, AGENT i 'r• •— Approv Phone: 41C f S A- za (ELECTRICAL INSPECrol J o . 04, ou P4 �4t ,ZX 40 0