2814 NO. STREET LOT NO.
IJTION FOR ELECTRICAL PERMIT
TY OF CUPERTINO
D= 198 19 permit No.
Fees /7.
waTtP(� m � s�r�tlJ�jN&e City of Cupertino for a permit to install electrical
ir fixtures as Iisted 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 Premi
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a Owner AddrOELEMUCAL
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