1401 (2) AV-�J I
_ NO. STREET LOT NO. /
P ELECTRICAL PERMIT
CI CUPERTINO
IMAY 7 1962 "'
Date — 195— Permit No.
CITY OF CUPERJI( Fee 3. —
Application is hereby made tote O 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 Premi
Address
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Phone: C_ !f ' h - 74 APP[Ov
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