1399 Iv O. I STREE'i.' - —TOT NO.
ELECTRICAL PERMIT
CITY ERTINO
Em 7 1962
Date
' 195— Permit No. /1391
CITY OF C�IPERT(NO FCe 5
Application is hereby ma a to the ity 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 ther laws applicable thereto.
Use of Premises
c
u
V
;a. Owner - Address
By Address C/ C,
NTRACIOR, AGENT
Approv
Phone: ELECTWCAL MSPECrta
`7 7—F
44
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