815 (2) d J srar:r: cor No.
s env OP CUPErtTMO CITY OF CUPERTINO
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o < S€P 7 lfffPLICATION FOR ELECTRICAL PERMIT
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�t — 19 7�— Permit No
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a N 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
0 o wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
> m City of Cupertino, and all other laws applicable thereto.
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zJ Use of Premises / g "('. - p
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3 Owner
N _ - Address lOf3/
Q a Ey Address
O 0 tt,� ¢CTOR, AGENT �•
a OX45�39UL Approved_.
Phone: ELECTRICAL INSPECl1D1
C State License _off/'2 7 30
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LU, S4hh-r0(Z i - S0 V&)VVALC LOT NO.
NO. STREET /o7W
z aMY op Ct:nond0 CITY OF CUPERTINO
w z WATER OW.
ro APPLICATION FOR BUILDING PERMIT
SEP 7197 his'
O J Building Per.No.
WUprpte 19 7 Sanitary Per.No.
o f toi tl n fjsherebV made for a permit to1U9TA,L L_ f 9l!464 t=wC —
o� astor T W. .
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ZF _ y Type Structure
ww to be occupied only as J ��.r�c«y accordance with
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a Plans, Specifications and Plot-Plan filed rerewith. PI Ck Fee$
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_o o Estimated Value of Improvements,$ /,V" Fee$ (o
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Total Fee$
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J z It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
J o and all other laws applicable to the construction, location, and use of buildings within
3 a the City of Cupertino will be complied with.
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�w i Owner Address
02 Q O BY Address S d/ /,� .�. (/— —.S•T
—0 Contr.or App t. - w,
Phone '21
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State License �f 3 Q Building Inspector