1405 o tq
NO. STREET LOYNb.,•'
IFIO
S
R ELECTRICAL PERMIT
PIMAY!
1,196f"&
oc�CI OF CUPERTINO
Date (o -�
,}95— Permit No.
• Fee S
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, //aoond all other laws applicable thereto.
u Use of Premises— W /�'TC-��
c _.
Owner Address
By
�D -A) /Z) L e" e -aT Address o e- J r
Approve
Phone: ELECrRXCAL IIVSPECTOt
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