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107 M. �.
ELECTRICAL PERMIT
M.j V; 562jUN 6 196§ CUPERTINO
CA- [
Date �3 ; � Permit No. 3
t �+tlrLff 111U� Fee 5 b•
Application is hereby 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
loother laws applicable thereto.
of Use Of Ptem"Sea
u �^
a /Owner e2m Address
yBy Address )
fAN7aAcrOa, AGENT
Prom: �S� 3 7 7�/ Approved/
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