2348 119
NO. I���-5! ET LOS NO.
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ELECTRICAL PERMIT
,�AUG 2 6 9863 OF CUPERTINO
Dat �T ^t ntij l;�,t- Permit No.
�i 1 V IFP
-' Fee S 39. 6 p
Application is hereby made to the City 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.
Use of Premises / U/
c
Owner `Lpr� uS Address
By Address
� CONTAACTOA, AGEOor /NT
e6 3/C7 APProved
Phone: � ELECTRICAL INSPECTOR
S
—...411—
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