51234No. Street Lot No.
E.. CF,Cyp:
APPLICATION FOR ELECTRICAL PERMIT
CITY OF CUPERTINO9%j
e 1967� Per
mi[No. jz�j3
� Fee
$ ( r s
oo
3 � Application is herc`6ry made to the City of Cupertino for a permit to install electrical wiring
=' v and/or fixtures as listed on the reverse side hereof, and agrees to' stall said wiring and/or
o fixtures in accordance with the provisions of the Electrical Code of [ e ity of Cupertino, and
° all other laws applicable thereto. ``•
c ti
Use of Premissees/ t `e xi
3 Owner ��l1�iy /G Address /e�lg
INO ELECTRIC. TNC.
° By Address
act EvelyabntkaFMtAgent
Approve
�;t, vale California 94C86
� E it �rt� Electrical l pec[or
" u Stale License
Go 1;;r 3J
ITEM I NEW JRPL IFEES
Number of Outlets
Number of
of
Power Poles