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NO. .. STREET LOT NO. ------- ,
I'�ATION ELECTRICAL PERMIT
1 D 96311 CUPERTINO
DCT 1 _
Date ncT3 1963 5— Permit No. c;2
CITY OF CUKRTM Fee ';
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.
Use of Premise /►/�—��=y' _
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;4 Owner Address
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By Address
110 South Alviso Rd. •: P.O. Bax 921 Approve
^ Phone: -Ae eieCrarUi wSpeCTDi
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