1028 NOVIP,
Q ,T LOT NO. �y
AT�,{^�{�, ELECTRI4AL PERMIT
PR 1 IJU'CI F CUPERTINO
Date Zn�L - PERTI%L Permit No. t 2 b
Pce $ 1 x0'25
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
City of Cupertino, and all otherlawsapplicable thereto.
$ Use of Premise=,
c
;.a Owner, �-�'-�--'^ a)Lie21 �t i Address
,. By 5 ��l F�� - - Address
CONTRACTOR, AGENT
Approve
L-4 o G ELECTRICAL INSPECTOR
�
NEW RPI. FEES
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—nmumrv. Ciruow.,.-.--_ ,,~" -. ..~ ^W~.__- __ _-- --'
Number uf &&�em.---..~---�ism.~.. , -_'- ---. —_----�~^f'
& oc-_ ~.._--'.� J. --..
�� Phase............
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ELECTRIC SERVICE NOTICE ONCE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERT 0
...........CJ... .... ..................... ...1196J.
TO
C.,
You are hereby a zed to connect the ZEOZICs vice for/
Owner or Te MIT," . . ....
At......../.40. ..............
. .....
No. of Wires ......4............. Sdvof Wires ...... Size of Switch
I
MotorLoad ............................ Voltage ................................ Phase....................................
HeatingLoad ........................ K. W. ................................... Voltage ................................
Light .... 1�110 ................New Service..tf��econnect ................
No. of Meters ......1..........
No. of Add. Meters .......... Heat ..............220 ............. Wire ..................Move
Service
.........
�Power ..... ....... Phase
. h... .................Move ...........
104 1/60-500 ..... EC'IR1.0-�L...INSPECTOR ..........