1393 (2) 3 i
NO. STREET LOT NO.
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ELECTRICAL PERMIT
CI F CUPERTINO
P
I AY 7 1962
Date , 195— Permit No.
CITY OF CUPERTINO Fee /3; '/o
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 other laws applicable thereto.
v Use of Premi
41 4WAW
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wnery - n Address �Ay Address
/V/ A �ON CCOR, AGENT�N r�—� Approv
ELECEBSUL INSPECR/;
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