1886 (2) h0. o I SET LOT NO.
ELECTRICAL PERMIT
FEB 5 19631 cuPExrlNo
Date 19,L.3 Permit No.
Ut MINT= Fee s A 8
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.
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