1397 Y �
NO. ,STREET,,�� t�* • LOT NO.
ELECTRICAL' PERMIT
CUPERTINO
��MAY 7 1962
Date TIT nF '(� RT 1195— Permit No. 3/
tg y lQf �3fih kPJ1Vt9 Fee $l�i
Appli n Is by 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.
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Use of Premi
c
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a Owner Address
By 7 Address g M �/
F
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CONTRACTOR, AGENT
Phone: O 70..5 ¢- Approv
ELECTRICAL ENSPECTOR
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4 A
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