1533 (2) •. NO. STREET LOT NO. `
D & tOR ELECTRICAL PERMIT
AUG
7 182OF CUPERTINO
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Date (� --y—t-J^� l=� 1;1Y Permit No.
CITY VUI -111 II�V � Fee 5 0
Application is hereby made to the City of Cupertino for a permit to install electrical -
,N 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
fo City of Cupertino, and all other laws applicable thereto..
Use of Premises
a Owner ' /7`"LN7i�0 C'd. Address B9 /SOX 30 Z
y gy Addres'�s-' .e� 4•PD1
1 N ' y'CONTRACTOR,.AGENT
'Phone: C'/`� �u /C%3x<+ � AVpproved cecraruu a+m iy.
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