1002 /o r,Np. STREET LOT NO.
GJ(P( 0
D ELECTRICAL PERMITIMAR 2D 1961ft.OR
OF CUPERTINO
Date ' 1S 19� Permit No.
Fee 5
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
wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
a Use of Premises_
�,
V
v Owner F. 40 9 bXi Address
9 By .f e.. tin ._ Address
CONTRACTOR, AGENT -+
c. APprov
Phone:- .
' Z ELECTRICAL rMPECrM' ..` �-
Rz
Ow iz
a 0 0 . . . .
44
22
Z Z� 4 FI r4 FI ai w
-Z\ \ } \ \ / � >
no -S7
\ f �&
� �\ \ �\ \ �/ } ` O � �
14
o 0
@ 7\ \ \ \ ' �� '® ® � ' DIK m
C) 0 Z
1 no
O�