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NO. STREET LOT NO. ��' ,
D P JR ELECTRICAL PERMIT
CIF CUPERTINO
/SEP 181962 /
Date „e// / -� , igtc7 Permit No. a 7
CITY OF CUPERTINO Fee $ 2- _
Application is hereby made to the City of Cupertino for a permit to install electrical
wirir png and/or fixtures as listed on the reverse side hereof, and agrees to install said
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Wiring and%oc.'fixtures•in'accordance with:the,provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
v Use of Premicec
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a .Owner FAddress
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CONTRACTOR, AGENT
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i� Phone: !ELEcnuCAL uaerE
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ELECTRIC SERVICE NOTICE OFFICE
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- '�....BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
................. .../ . ......_.............
You are hereby auth to connect the ELE IC f
d
Owner or Tenant .... .... .. _..._ . .. _ . _........_...._..........
At -----,,1/ --- .
No. of Wires ------4+......._. Size /ires 7?0��......._. Size of Switch 11014.11.�.
Motor Load ..........................1 Voltage .......... ........—......... Phase....................................
HeatingLoad ....._.... .......... K. W. ........._.....--- .- ---------- Voltage ................................
Light ...-------_110 .....New Service ... ...._.------..
No. of Meters ....,/......... Heat ..............220 ofl_........Three Wire----------------:Move Service-.._------
No. of Add. Meters .......... Power ............. ...._............Move Meter ............
..
. .................._........_..... .:
. E CTRICAL INSPECTOR .:
104 7/61-500 1; _