2243 (2) NO. STREET L NO,
FIJI,PI;bbwtIO[Uppy"t1OF
R ELECTRI L PERMIT
CUPERTINO '; ` - 4L 26 1\963
Dat e(+— G� 1_J.�..y , 1-43 ,. Permit No..
Fee S
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Appliption is hereby made to the City of Cupertino for a permitto install electrical
V wiring and/or fixtures:as listed on the reverse side hereof, and agrees'to'install said
"Q wiring and/or fixtures in accordance with the provisions of the-Electrical Code of the .
i City of, Cupertino, ,and all
other laws applicable thereto.
J' Use of Premises'
G
:a Owner E"n m+tin Address r' .
By - Address
CONTRACTOR„AGENT.. _'y J
n�t�A7i/O Approved_ '
Phone �i ' _ *a1aCZH1 ISPECTCM ,"• - .
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