1307 (2) NO. STREET ll '1
GA LOT NO. 713 ",J/y 0-Clk -;25
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EFEBR ELECTRICAL PERMIT
C F CUPERTINO
5 1962
Date J�'1'� U , 1 J(s_2 Permit No.
CITY 0 CUPERTINO Fee s a�
App kation is Of( 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.
Use of Premises U'%
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Owner t 1 Address
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