2566 (2) /Z/Y� 14A
NO. STREET LOT NO. /Q
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x o ELECTRICAL PERMIT
° < �1 JAN 22 196 IT cUPExTlrao
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4 Date1 }95— Permit No. 42?
O < �J Fee S/ j . S
Application is hereby made to the City of Cupertino for a permit fo install electrical
W 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
> W City of Cupertino, and I other laws applicable thereto.
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ONTRACTOR, AGENT
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<U Phone: '" ' r/j' ELEMICAL INSPEL70V ,
State Licenser ��
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