1807 of PfPDL?
ON R ;'ELECTRICAL PERMIT
10 ] 2 :UPERTIN0
Date 96N ffoETIM Permit No.
Fee S 17 Vv
q\ 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.
Use of Premises
c
Owner -92& Address
Bp 1. D. OWENS ELECT Address
N 710 °outh AM "70R.(7GSW927
h�oumain view, Calif. Approved
Phone: ILL II4PE
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