2323 No. t/J'.LLtr rJt,ti LOT NO.
rFOR ELECTRICAL PERMIT
OF CUPERTINO
11AUG 16 1963 ,',
Date ' 195 Permit No.
�PP U Yma CAl0 Fee 5
rt"'C°ti6h is Fiere� d6 io�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.
v Use of Premises - L��•'JA- �✓`�f
V
Owner � Address
;< By Address
CONTRACTOR, AGENT
7C/ Approve
Phone: a7 E [tHIUL RISPHC'['O2
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