906 � .
NO. - STREET
o LIZTION FOR ELECTRICAL PERMIT
TY OF CUPERTINO
00 195— Permit No.
FeeSs ��
i` i�6�VPhe City of Cupertino for a permit to install electrical
JiVan r e as a e on the reverse side hereof, and agrees to install said
wiring and/or fixtures in accordance with the provisions of the lectrical Code the
City of Cupertino, and all other laws applicable thereto.
v Use of Prem
Owner ` Y 15 Address
B ' / Address
CONTRACTOR, AGEM
I'3° APPtov
ELECTBICAL RISPHCiOR
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ELECTRIC ECTRIC 'SERVICE NOTICE COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
.................... ........................... 196.�...
To
You are hereby autho zed to connect the ELECTRIC service for
Owner or Ten ............ ...............................
At........... .........
................. ..................1—..................................................
No. of Wires ......��A............. Size of Wires,�.t.....?e Size of Switch ....................
MotorLoad ............................ Voltage ................................ Phase....................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
No. Of Meters ....................)Light .....f/110 _............_New Service...._............Reconnect ....... ......
Heat ..............220 .......... Three Wire� ..Move Service
No. of Add. Meters Power .............. Threeka.--� ......... Move MeAr
................................ .
104 1160-500 ELECTRICAL INSPECTO
6