1529 (2) -,NO. STREET LOT NO. —
�1 q{ry�p�R ELECTRICAL PERMIT
�ec?I'1 lOF CUPERTINO
ry
AUG / 962
Date 10Permit No.
ficatii
OF CUPERTINO Fee $ o`Zop
Applon s hereby made to the City of Cupertino for a permit to idstall electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees .toyinstall said
r n wiring and/or fixtures in accordance with the provisions of the Electrical-Code of they -
City of Cupertino, and all other laws applicable-thereto.
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v Use of Premiqeq /s� JSlSCf _
Owner !SGP/fes ��t(D Cd Address / I—eSG TeS
t By;_. , _ , Address 5 FvE•.+/jCWk
CONTRACTOR, AGENT L
APProved +
Phone: -tyi�a. _. ELE L INSPR
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