2218 d VNo.
G/Q STREET LOT NO. ✓/
01PPNrFOR ELECTRICAL PERMIT
JUL l 9 1963c1��OP CUPERTI[VO
Date t 143 Permit No.
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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
IC City of Cupertino, and all other laws applicable thereto.
Use of Premises.
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Owner 6�-S a v^� - ^ 'r�^'�_ Address 46o �&"
By Address
v) CONTRACTOR, AGENT
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(1_ Phone: r 1 Un ELECTRICAL FMPECIOR
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i OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
�.0.:�0 ...{..
To -......... 19C
You are hereby authorized4tonne electri se a for
Owner or Tenant�.,,.................... . ......... ..... . . ... .... .. ...At ....... . ...J-7--t�ra ...... ae a
No. of Wires ........Z......... Size of Wires ... .-:..2,Z.. Size of Switch (..
Motor Load .......................... Voltage ................................ Phase .................... ........
HeatingLoad ........................ K. W.�.................................. Voltage ................................
j
No. of Meters.... Light.._..wl"- 10...... . ec
r:n-New Service........ Konnect..................
...l...........
H ....... 220.......,e'Three Wire.. ....... . Move Service............
No.of Add. Meters............ r
Power............... Thr Phase(..-....../.. Move Me r..............
1. ..�u1 11fJ ..._ :.......
104 1/89.800 ELECTRICAL INSPECTO
M,:....