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E o PP7,$OR ELECTRICAL PERMIT
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APR 9 oDate 95_ Permit No.
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a �T (�� n''p['DT�p Fee � ---
a N ApllitatiY, i0fl-ere9yld&deRTIA10ty of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
00 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
50 City of Cupertino, and all other laws applicable thereto.
Use of Premises
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By .,�r Address
QO L� CONTRACTOR, AGENT A pp roved
—0 Phone: ECrRlui INSPeC'[m
State License:
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