NO PERMIT NUMBER TEMPORARY ELECTRICAL SERVICE
DATE: ................ -J 4t
.......... .......... ...... ........... Fee: ---r4V2..............
OWNER:
AT:
LOT: ............................ - ---- ----- ----------- ---
REASON: ............
The undersigned agrees to be responsible for the electrical service at the above location,
until the building is ready for occupancy, an_d is released by the Building Department,
City of Cupertino. I I . I
11V,in Cr�I L I .......... .............. ............. ..............
IN S-P*'*E-'-C-,r-O---R. .....
TENANT OR OWNER
1161/63-500 J