2064 (2) / 036 /
NO. BEET LOT NO.rJ
ELECTRICAL PERMIT
CUMTINO/ UN 6 1964eia3' �
Date 4 r 1932 Permit No.
CITY OF CUPERTINO Fee $ /G �s
Application is hereby made to the City of Cupertino for a permit to install electrical
wiring find/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.
o Use of Premises
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'3 Owner ?o*sr Address
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By Address
G NTRAC[OB, AGENT.
Phone: Ape .3'171 APProv� crarurL uancriaa
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