2195 O. STREET LOT NO.
® P y4T 0..NOR ELECTRICAL PERMIT
CIOF CUPERTINO
l JUL 15 1963 / 95
Date 198D Permit No.
� r�TY .QF 'UPERT""` Fee s Iy b
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
p wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
O City of Cupertino, and all other laws applicable thereto.
v Use of Premises P S'
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V
;.5 Owner Address 012 111A..
By POk - - i Address
CONTRACTOR, AGENT
V%IF 0-07 Approve
/1. Phone: ELECTRICAL 1NSPECron
77
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