1423 I` 7V- LOT NO.
NO. STREET '
APPLICATION FOR ELECTRICAL PERMIT
® OF CUPERTINO
Dat /� 199 Z� Permit No. / t
/ Fee 5 _
_p(�; � h��,,��{,y,,y., City of Cupertino for a permit to idstall electrical
wir`It and/cO'tixtTlrt3'a M the reverse side hereof, and agrees to install said
N wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
j City of Cupertino, and all other laws applicable thereto.
v Use of Premises
r �+ �, .
;.3 Owner Address
��
By 'T`"�> h i., i Address *LECTTLICAL
-
UCONTRACTOR, AGENT N
OE- 6--jO6� Approved
Phone: 7�
@ A
9 i
I
Ci � 5y
Wd
w`' 3
0w 0
w
X000
-i,�O12 0,i
N. �'� N N� .� ^� �i0•. O
9A" _
VJ etn h in h Iz Zi ~i.r�r4 Pi W
tl
� \ ( ( \ f � \ \ ��
/ k \k
?l m --I
X
I C) 0
o 0
� � � '\\/ % ( 2pq m
, / 2
z
� . _ 0