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2460 Xp. ST ET LOT NO. 3 r g APPLICATION FOR ELECTRICAL PERMIT 2 " CUPERTINO 3V LL Date t + '95_ Permit No. / V o Uv Q Fee S 3 a W Application iseb e Cdty of Cupertino for a permit to install electrical W r wiring a� r re i ro'r�th'e reverse side hereof, and agrees to install said W wiring and/or fixtures in accordance with the provisions of the Electrical Code of the 00 c- 5 b City of Cuperti d all other la s appli thereto. Use of Premis s �- jo >( o 3 a \O n _ Address wwy '" `` !`� `��= Address QO C CONi4ACTTOR,R,�AGENT PP A [OV —U Phone: ' /�" ELECTRIUL MWEC=X State License:/(,/ § . . § � • : )� . �• � � \ � \ \ � � : 2 \ � / � Oa:Oa: = ) § § ) ( © / i i \ 10 } f z SIN 10 [ Rkk R r I a 53 0 2'CA \ / \ ' � �\ � � ^ �_ } } $ : \ o 0 \ , f f : : \ 00- '10