793 In
NO. STREET LOT NO.
N FOR ELECTRICAL PERMIT
® �ITY OF CUPERTINO
A ' 19 '
Date , 195 Q Permit No. 7 9z .
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-CITY OF CI ftff ffi Fee s > b
Application is ere y ma a 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
Q wiling and/or fixtures in accordance with the provisions of the Electrical Code of the
M City of Cupertino, and all other laws applicable thereto.
1 '
v Use of Premi
C'
Owner GJ a r l Address
By — Address
CO C'rOR, AGENT
Appro
Phone: ELECTILWAL 9
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i ELECTRIC. SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
� l�L....... .........._....... 196.1..
To
You are hereby authori d to co��the ELECTRIC s 'ce for
Owner or Tenant .. l • . .0 t�• ..............................
At.... 17 ............ �rer �Ci...:..................................... ......
No. of Wires ....-'................ Size of Wires �� ---------- Size of Switch .� '..
Motor Load ............................ Voltage ----............................ Phase....................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
// Light ..............110 ...........New Service..................Reconnect ................
No. of Meters ... ..............
Heat ..............220 ................Three Wire ..................Move Service ..........
No. of Add. Meters ..........)
Power .............. hree Phase..................Move Meter ............
......... ��.................................................
104 1/60-500
�jJ ELECTRICAL INSPECTOR