1525NO. 5 ET LOT NO.
�iZLll FOR ELECTRICAL PERMIT
OF CUPERTINO
D ! A V 194 Permit No.
�(�[ �p(�TT11nn�((�� Fee $
cadDF is }�ihl<dc1 Qne 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
Address .
Address .
AGENT
51^ = Approved
WSPECTo1
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ELECTRIC SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE
L q I . "CITY OF CUPERTINO
.......... ....... P. ,V. I --
.,I ... ..... xt ...............1 196-0
To
You are hereby auth4rize/to connect
Owner or Tenant .......... 14.CF ... ..
At............ --k ..................
i5No. of Wires .... .............. Size of Wires
Motor Load .......................... Voltage ........
Nr
Size of Switch
Phase ------------------- - .....
Heating Load ...................... K. W . ..... ............. Voltage ....
Light .. . . 10
No. of Meters . �H 't .......,�20
No. of Add. Meters Power ................
104 7/61-500
0