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2178 Ck NO. STREET LOT NO. �_. APPL'I.CATIONFOF CUPERTINOOR ELECTRICAL PERMIT I ? J • is //nn _ z Date , 19@� Permit No. Fee po Appli(atiodyis O[�eby/rha.det;cRhe 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 other`laws applicable thereto. v Use of PremisesRe--> A-'?-oto Owner Address 6o coj'�" C i By Address //-In � J CONTRACTOR, AGENT a, Phonc: —O APP E. G7RI i [NSveC101 NEW ' RPL FEES 050 Size Service Conduit.... .._ y-----Number of Outlets------ ------ -- -J.-p-- ---------- --- Size Service Wires..... ........ umber of Switches................ ..LIP. .......... ... ---- ------ - Size Service Switch...../.a4229 .N--Number of Receptacles------------ -- ---------- ---- Size Sub Feed Conduit...............Number of Fixtures------------------ --/.( --- ---------- ----- / Size Sub Feed Wires....................Ranges.---..-e.... KW--..--._.... ..1)----- --------- --- Number of Circuits---. .-----...... Oven .... ------ KW......------- --- ......... ......... .. Number of Meters........................Signs.--------- Transformers........ .......... .......... ...... Misc.................................----..........Dryers...----./------- ------------- ----/--- ---------- -------------- Motors...... ----------- HP----- - ------- phase--------/ Permit Fee $1.00 Motors.................... HP.................... Phase........... 7.5r Motors.................... HP.................... Phase.................... H P Charge-----------.... .........a--6-7- TOT SPECl'lON AP AL Rough Wiring .. ...... . . .. ...... Fixtures ----- --------- ----- T INSPECTOR Finish Wiring .........--- - -- - - ---------------- Motors . ------*-------- OATK INSPECTOR INSPECTOR Final -------' ...... ----------I --------------------------- DATE INSPECTOR OFFICE COPY ELECTRIC SERVICE NOTICE BUILDING INSPECTOR'S OFFICE CITY 01' CUPERTINO q 1 TO You are hereby author e to nnect Qel�'ctricd ervice for Owner or Tenant ---------------------- ------ . ..... ................. --------------- ----------------------- At ----------C::�9v-(Go ki .............. . ........ .. .. ...................................... No. of Wires ............ .... Size of Wires -------------- ----- Size of Switch 10O.A.MV Motor Load .......................... Voltage ............ ... ................. Phase ..... ....................... Heating Load ........................ K. W. ...------ ---- ----------- ---- Voltage ------- ........................ 1 110—. New Service/-�— ... No. of Meters... Light -------- ....... ........— Reconnect._.._......._.. No.of Add. Meter-s-�::­**:f Heat........._..... 220... T W Move Service Power.........._.. Move �MAr.............. ..... . ..... . .. .......... 104 1/63-500 ELECTRICA4L