2684 (2) N ¢
NO. T LOT NO.
0 OR ELECTRICAL PERMIT
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3 < APR 13 1964 OF CUPERTINO
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i o ��Da� 6 I thin 195— Permit No.
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a Fee 5
a m Application is hereby made to the City of Cupertino for a permit to 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
S W City of Cupertino, other laws applicable thereto.
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Phone: UL INSP8C791
State License: 60�
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