1971 (2) / NO. STaE LOT NO.
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ItMMR ELECTRICAL PERMIT
� C OF CUPERnNO
�S IMaR 2 s 1963 Q
Date —1195— Permit No.
CITY OF CUPERTINO Fee $
Application is hereby made to the City of Cupertino for a permit to install electrical
M 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 bf the Electrical Code of the
City of Cupertino and other laws applicable thereto.
Use of P
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h CONTRACTOR, AGENT
onr. Ite,g 2922 1 Approved
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