1925 (2) 7
Nb. s LOT NO.
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ATC p q ELECTRICAL PERMIT
11
6 B 1933 ERTINO
Date r. v D�� 1(1 Permit No. ` Z S/
V I` 8 „ Fee 5 1 13
Application is hereby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
v Use of Premis"
Addres
< e Address
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CONTRACTOR, AGENT ( q F
J y "T Y / Y' Approve
Phone: LECTa3Ut nJ5PEC7DS r�
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