1024 (2) -76
NO. c .'sTREET - LOT NO.
APP99�A O 0,0'R ELECTRICAL PERMIT
G 3195—
F CUPERTINO
Date Permit No.
Fee S
Aprnre '�p �UtfAty of Cupertino for a permit to instal `electrical
whin oe,— tur Cyt a lolnV a 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.
y Use of Pre j a ..•s.k �y
Owner. Addres
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By Address
ONTRACTOR, AGENT
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