2012 -
NO. STREET LOT NO.
ATiON ELECTRICAL PERMIT
CITY OP COPE&TINO
M 4Y 14 1963 L.
Date j-- 3 191+1 Permit No. 7'
CITY OF CUPERTINO Fee $
Application ishereby made to the City of Cupertino for a permit to ins rgrical
wiring and/or fixtureas listed on the reverse side hereof, and agrees to install--said
wiring and/or fixture in accordance with the provisions of the Electrical Code of the
( ' City of Cupertino, and all other laws applicable thereto.
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