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NO. STREET LOT NO.
ELECTRICAL PERMIT
?*"AN 25 1961 CUPERTINO
(+. Date 195_ Permit No.
M CITY OF CUPERTINO Fee $ate
�y Application is hereby made to the City of Cupertino for a permit to install electrical
` U wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
wiring and/or fixtures in accordance with the pro
visi ns of the Electrical Code of the
City of Cupe"allf'applicableY Use of Pr mi cAddressX /_432n /-1LMbf.�P•�. �p
By -X S`*^^,1= Address
1 — G
CONTEACTOR, AGENT Approved ` (nIL^
�T Phone R ELECMICAL INSPPECf(n
New RPL FEES
Size Service Conduit ---------------------- Number of Outlets---------------- ---------- --- ---....L.. ----
------
Size Service Wires -------------------------- umber of Switches ---------------- ---------- .
Size Service Switch------------------------ Number of Receptacles...-------- ---------- --- ------ ----------
Size Sub Feed Conduit._...............Number of Fixtures..----------..---- ---------- -
Size Sub Feed Wires_ ----------------- Ranges ---------------- KW -------------- --------- ----- -- -----------
Number of Circuits------------------- Oven -------------- KW -------------- ---------- --------- --------....-
Number of Meters ........................ Signs ---------- Transformers-------- ---------- .....---- --.......--.
Misc-------------_--------- . ................... Dryers ------- ----------.._.......................... - -- --------------
Motors-------------------HP ------------------- Phase --------------------
Motors -------------------- HP --------------------Phase ------------------ Permit Fee $1.00
Motors ----------------- --HP -------------------- Phase ........ .. ----- H P Charge ----------------
TOT.. L
... ---------TOTAL PEES
RECORD OF INSPECTION APPROVALS
Rough Wiring -------------. --'--- -----------' Fixtures -------------------
DATE IXIPCLT.. RATE IM [ctR
Finish Wiring-------------�-------'--....CT ..._TF
otors -----
------- -- ---"� - ------ - - -----'-'--'
DAY IXn[--- Rggre tT RrE roR n
nal j-{. �-u44t., .{�1-�-�
DATE IX6rCCTprECTp. �j
ELECTRIC SERVICE NOTICE OFFICE
D G INSPECPOR'S OFFICE COPi'
UIL
I OE CUPERTINO
w� ole...._........=
n QM /—'
You are her by a oped to connect the ELE,�T,R,IC se for
1 b ► I. _ D� 1�1e v...........
Owner or Tenant .... ..._......._..
At ....c a.....7..1....... ...._...C._ .2.C1.:ri.�n�---------------------------- -- ----- --�-
No. of Wires --------Z........-_. Size of Wires . I Z...... Size of Switch L.�0.1?'M�u
Motor Load ............................ Voltage ................................ Phase . U
HeatingLoad ........................ K. W.— ........ ---------._..- Voltage .... ........................
Light ....... ...110 --------- New Service ..__.._._--- .Reconnect ................
No. of Meters ...... 1............ .
No. of Add. Dieters
Heat ..............220 .............Thr Wire
..........
Power ............. 7'h ha. ............._.Move D(e[ec ......-.....
104 1/60-500 ELECTRICAL INSPE O