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4 Dej ASAW 195— Permit No.
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Fee
a N Application is hereby made to the City of Cupertino for a permit to install electrical
W M wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
o `o wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
5 w City of Cupertino, and other laws applicable thereto.
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Phone: ELECTRICAL INSPEr,70;
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