837 ') NO. LOT NGr�f. _.
I LECTRICAL PERMIT
0AT'SEP 1919 PERTINO
Date `sem Permit No.
'1,V Fee
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 other laws applicable thereto.
Use of Premisp<
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By Address
N CONTRACTOR, AGENT �j
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Phone: Vii/1�1/•+�5� / ELE UL WSP8CT01
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ELECTRIC SERVICE NOTIOE- OFFICE
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTI`N�O
.................... .`^... c�'. ................... 1966..
To
You are hereby aut rized to connect re ELECTRIC service f r
Owner or Tenant ........ .. �`- >1......_..�,�-h�l_X.R-p...�....... ..�!.:.1..Se3:.!
No. of Wires .:......... ...... Size of Wires .... ..Z .. Size of Switch ---
Motor Load ............................ Voltage - .......... -- - .Phase..................................
Heating Load ........................ K. W. .._...._�.'i 9d?nt-.^ ..::. Voltage :. .::...--
- ---..:::.....
Light ... ..110 ......_ f ew Service..............:..Reconnect ::._:._i.._r
No. of Meters ................... -
a.
- ' Heat ....._....... 0 ......_...... hree a .... -......'...Move Serv,ce�,l:.....
No. of Add. Me[ers -.........
Power ...*10........ - hree hase.'..: >:'A6M e�Meter ......:..._ -
1
104 1/60-500
ELECTRICAL INSPE O
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