2466 X0299 � �oL.FE Rte. • .
No. STREET LOT NO.—ff
D SUN FOR ELECTRICAL PERMIT
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QCT 18 19 C
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Date � - 195— Permit No.
51_., Fee s�5
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 laces applicable thereto.
vUse of Premie • PARrM F-0 TS
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Owner IES— IOM 2RQP5iZr'ES Address M2 HQMI -rn6 AvE
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Z By r_ mr Address
395�rr ��it�Tii
oP.LW' Approved '
Phone: CAN IOCES�{ CAI IFPRN A ELECTRICAL rNSPzcroz
Qj CYpress 5-0644
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