1240 NO. STREET LOT NO. Z—z
® PI I ELECTRICAL PERMIT
$ CUPERTINO
NOV 1961
Date ((����TT ((��[[ (���D �p(�194tL _Permit No. [ b
A IiQT,Yis h L tiffR11�ERT)NQ Fee 5 n c
PP y 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
V Owner �^�L7Address
By _ / Address
� CONTMGTOR, AGENT
\` �f 2 _ G Approved
Phone: E ClRICAL PEClDR
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