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S R LOT NO. G
If} AUS f LIWI k !FOR ELECTRICAL PERMIT"
OF CUPERTINO
D JT)l;Q 11FERTINO
1!6--
� Permit No. J v
t� Fee S /0�
Application is hereby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on thereverseside 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.
Use of
By �_4/1 h d n i AAI . .
CONTRACTOR, AGENT
Phone:/64f
Address "e
Addr LL
Approved
ELECTRICAL L SPECIb1 _
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