2381 (2) / 03� I���
NO. srasaT LOS No.I
//�yp� ��p�S�ECTRICAL PERMIT'/ $EP 9 ��O (PERTINO
Date / 190_ZZ Permit No. Z3
CITY. OF CUPERTINO Fee
p Application is hereby made to the City of Cupertino for a permit to rn5tall electrical
NN wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
wiring and/or fixtures in aooirdance with the provisions of the Electrical Code of the
G City of-Cupertino, and all other laws applicable thereto.
., Use of premises
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Owner ��� Address ZV17A��&w��� .
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�'��ffi DE Approved
^ Phone: ���ce�r�o�� r,L.L'RSI'A6 nrsnaaa
(�JJ� SAN JOSE. CALIFORNIA
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