619 NV ;= STREET LOT NO.
APPmeATION�FOR ELECTRICA 'LrPERMIT
o R' CITE OF CUPERTINO
;n 0
Date _ 195_ Permit No.
I3FpTI�I� Fee S �� �o
ry Application is hereby made to IMPof Cupertino for a permit to Install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
M wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
'! City of Cupertino, and all other laws applicable thereto.
\ P(�(�
„ Use ofPremiqP<
a Owner Address
v
' By Address
- A I CONTRACTOR,IAGENT�
reet Approve
Phone:.
"Y 3.1862 ELECTRICAL INSPECTOR
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ELECTRIC .SERVICE NOTICE
OFI ICE' .
BUILDING INSPECTOR'S OFFICE ori*iC-@R _
Jot
CITY OF CUPERTINO ?"
TOY ... _. 1 .
ou are hereby pal i d to connect the el
ectric
�rvice for
I
Owner or Tel ...............
Atd 7y//��..- _t ... . ... -t L......... ...------------- ..... ...Q....
No. of Wires ..3----------------- Size of Wires .......... Size of Switch
I
Motor Load ............................ Voltage ................................ Phase--......-r----.......fix.: .:
HeatingLoad ----------------------- K. W. --......._....................... Voltage ................................
Light............---- Ito.�----New Service...!. ------- Reconnect..................
No. of Meleri...._(...-.......
�Hut.m................ 220-_!....Three Wire........---:...°I. 14o�vewService............
No. of Add. bfeters............ " '
Power............... re e..--. „y..-... ove Meter---.-.........
104 2/59-250 ELEC"1'RICAL INSPECTOR