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- NO. STREET L07 NO.
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v4 tt ' FOR ELECTRICAL PERMIT
CIT11 CUPERTINO PLAk/ Sol -
1JUN 14 1962 �`
Date J u a V- 1 -2- , 19,42 Permit No. V
CIT
Y Or CUPERTI(�� Fee 5 q C-0Application is hereby made to the r y 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 Premiseg FAM 5
V
a Owner ptivER nrovSS«I V Address
By r-A'?o Flc'eT C o Address21 5 To s i A- S J
CONTRACTOR, AGENT Approved
hone: CY �' 3S� ELELTRICAL QSPECraa
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