664 NO. STREET LOT NO.
APPLICATION FOR ELECTRICAL PERMIT
"a 12CITY OF CUPERTINO
T h / . .
tl �, 14�L Permit No.
Fee
V) afilication is hereb made to the City of. Cupertino for a permit to install electrical
g OF/orawp 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.
v Use of Premises W/f-�-[y/1��/G1�1 x��1
v � —
Owner C^�d �/�/LO S� �T� Address ��1L8
By Addres / v6�X G'
—/ Approve
Phone: �/ O ELECTRIUL CVSPPCIDI yv
` v
EVIE
a, I if
: � \ i
i
j j \ \ .\ § k � :4> \ , \�)
a 0
13 a,
A� 1
i i
i i Z
pz w
'a 6 i i No
-go A
P4
A
04
'A z z