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869 O. STREET LOT NO. APP&RE-ATION�FOR ELECTRICAL PERMIT GO OF CUPERTINO An : •Da e. - 1944 Permit No. rte` .f)rmade pee $ �� � S"a ppli'0 I• hereby' e 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. v Use of Premi v I a Owner /?� � �y A Address ` By 1.1.1 �_ Address /�O / CONTRACTOR, AGENT Approve C Ph ne: R e.i. /}. �P' ELECTRICAL �o-a i NEW- RPL FEES Size Service Conduit--- (...._..Number of Outlets................... ..... ....... . Size Service Wires...-....0..Y......Number of Switches..._.......-... .........I......!!.{..-.. Size Service Switch......./.ltA#-Number of Receptacles-.------ --- ------ --- ..........•. Size Sub Feed Conduit------------------Number of Fixtures------------------ .I ........ ........ ............ Size Sub Feed Wires.._...............Ranges................ KW------.-.-- ---------- ---------- Number of Circuits..--------------- Oven ....I--------- -KW.............. .......... .......... ..../ Number of Meters........................Signs.......... Transformers........ .......... .......... .............. Misc. .....Dryers. --------- ---------- ---- .......................................... - ------------ ------------ -- ------- Motors-------------------- HP.................... Phase - - ------ Pertnit' Fee $1.00 Motors................... HP............. Phase.................... - Motors----- .......... Hr---------------- Phase.................... H P Charge.-------------- --- TOTAL FEES—--------- C INSPECTION APPAJ 91P Fixtures -7� ... ....... RoughWiring// ---- .......... IN P A J ) r T 00 8 Finish Wiring . .. ..... Motors .. ........ --7..... PECTOR on DAT ----IfFiotaol's.'4. DA i ELECTRIC $ERVICE NOTICE OFFtCS 7.COPY .�'I✓ BUILDING INSPECTOR'S OFFICE•• r /�f �a r� CITY OF CUPERTINO �r"''• .........................y//.....-.................... 196Z. TO You are hereby authgz0d to•Mnnect the ELECTRIC service for r 1 ,�.5•C�iO l/ i 0 Owner or Tenant .... .......::t.-:�!��b. ....-r---•---•--'.�lL!�...._:. • t.t'.1 No. of Wires ...�............ Size of Wires# ......... Size of Switch ._.2. • MotorLoad............................ Voltage ................................ Phase........................ ............ Heating Load K. W. .................................. Voltage ................................ f. ._, Light..............i 10 _V... New$enimi�! Reconnect .............. No.of Meters. � - •...`' .. '•obi: ...... Heat ..._.........220 ................Three Wire .+..,..F,. Move Service .......... No. of Add. Meters__ Power .............. h 'Phase._.`......... ...Move Meter............ ........... .................................................................... 1a4,/6o-500 ELECTRICAL INSPECTOR