2478 (2) 10534 Orange Tree Lane _ 2
NO. - STREET LOT NO.
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y o P . :16 �1A�OR ELECTRICAL PERMIT
I�jY OF CUPERTINO
CT 31 1963 uu
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DatePermit No.
° < CITY OF CUPERTMO Fee S
<m Application is hereby made to the City of Cupertino for a permit to install electrical
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wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
00 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
>0 City of Cupertino, and all other laws applicable thereto.
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Use of Premises residence
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3 a Owner B l ocsnm Vn 1 1 ey Hnmecy Inc Address
— y h. li. WHIV SJtIKGK
W W By Q 1 WMII Anan _ Address
QTR SUNN CdNTRACTO ,'-ACENIIVIA
02
<U PHONE 736-5421 Approve I H, A q d �.
Phone: t GEIGL INSPE
12422 CTA
n State License:
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