2686 (2) /03/5/ Ir'70'`e wa�
NO. STREET LOT NO.
N Q
r o
EAR
�OELECTRICAL PERMIT.
oC TY :OF CUPERTlf70
14 1964
W LL . /
I O U�//C/^
n r Date 195— Permit No. _
° = CITY OF CUPERTINO Fee 5p� �5
a m Application is hereby made to the City of Cupertino for a permit to ins Call electrical
W I 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, an 1/other laws applical l� thereto.
r.
03
z J Use of Premises
J Z
J °
3 a Own ,o- _ ._ ` _ Address {
ncEN7T"" ';By tiiA.ddress
CONTACTOR r nE PProv da o X
Lv`
_U Phone: ELECTRICAL INS00.
PEC7 ��•
�,State License: . .,�.•,,..-. e�.,w
ri
_ \ � � : � \ � � � ���
i
0' C
0
TZ4
04
ell
2; Z. Z. 2; 4 0 \ j\ ? } \ \
}� � � � � S- J �
: xx
/ } / 0
/ / / � � � ,0 \ j \ \
U
0 .20 0
z �4t