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826 (2) O1 � /QT NO. /
NW l STREET
u,a %9V 22 CITY OF CUPERTINO
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yo AP1PLUATION FOR ELECTRICAL PERMIT
2LL A
w D // Permit No.
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F O Data _ 19Z Fee$
o F Application is hereby made to the City of Cupertino for a permit to install electrical
>F wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
a N wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
W City of Cupertino, and all other laws applicable thereto.
a�
OO Use of Work To Be
>y Premises Performed /Q-.9T4LC anti 1=TTt=/25
i¢J owner X(5;; -o D t/4 4? Address /O 9.3/ .1/.54o?j70e -- '5(/Z
o By G/J - o L $/C Yi3 Address }
3 Contractor, Agent
- a Phone K ag1— 9•/G
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WW
Q y State License r c9/7 7 3 D Approved
(7 Electrical Inspector
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1093 I A), 9ARATVa,a SL'k KVt/ UALGLOTNO 1- 795f
NO. STREET
yQ O
'z CITY OF CUPERTINO .,5-0 .40",
Yo APPLICATION FOR BUILDING PERMIT
3 Q Sri
� Building Per. No. �1b
W O Oft19 Z� Sanitary Per.No.o Appl icerey made for a permit to LL ' - �.t�i,,�, ,�
u w V 7"
0 F a�story, `yZ ' tC. 1 �C rl .L ✓. Structure
a y as
w in accordance with
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a Plans, Specifications and Plot-Plan file herewith. PI Ck Fee$
J
20 Estimated Value of Improvements, $ / 0-" Fee$ �s '
�N
o c Total Fee$
Z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
J$
J o and all other laws applicable to the construction, location, and use of buildings within
3Q the City of Cupertino will be complied with.
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W W Owner—GO©d Y�"k Address /093/�/l 4EA7 6.4
�a d yvq�r'
CjEByftLzPLA � ' M/ C'` IVQ Address
—U Contr.or Agent.
Phone Q J`'13 9 y .6 Approve
State License 2 1 7 7 30 Building Inspector
