2062 ✓N O. 5u 107 NO.
NO. 7
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R ELECTRICAL PERMIT
1963 OF CUPERTINO q
Date
4 -6, 19" Permit No. 2 0
Fee $ /fie
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 Premia T
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;a Owner Address
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$ 13 Address
rn01CONTRACTOR, AGENT
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Phone: o ntK 19-77 ELECTRICAL UARCTM
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