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1573 NO. STREET LOT NO. Me FOR ELECTRICAL PERMIT � 9i ""' OF CUPERTINO l AG 8 962 2 Date , 19/-/ Z Permit No. /57.7J (r� � ((�� (� F TING io YY��Itia-r Hd2�tn�8 t6` e. City of Cupertino for a permit to stall 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 "m City of Cupertino, andel all —other,laws applicable thereto. V Use of Premieec Owner Address -4 m By Ai..�-P.•,�•.-• S�te•�Yn tom', fffi11SPZCF0jt ddress �'CONTRACTOR, AGENTpprov Phone: ""/ 7. �•G.� E CTMR NEW RPL FEES 26 SizeService_Conduit_...4..-------Number of Outlets........__...... _..Z-- ---------- ....--..."... Size Service Wires*.:;? 4'4......Number of Switches....:........:.. 2. .' s` Size Service Switch... ------Number of Receptacles------------ —--- ---------- -------'... Size Sub Feed Conduit------------------Number of Fixtures.................. .. ---------- ----- Size Sub'Feed Wires....-----.----....Ranges.....-.... .-- KW.............. ......�.. ....------ -...7:...... Number of Circuits................... Oven KW------------ ---/---- ----- ---- Number of Meters........................Signs---------- ,Transformers-------- --------- ---------- -----------:- .---- ----�.. ........_ ..7......... Motors: --- HP-------:�.......... Phase------------------ Motors---y--------------- HP---i................ Phase------------------- Permit Fee $1.o0 Motors..........---------- HP......--------- Phase.---------- ........ HP Charge ---------------- I-----yS-: TOTAL FEES p O NSPECTION APPROVALS Rough Wiring..✓.. ....--- tFmal Fixture .----------'--- .. ........... --- ----- - -- DATE -INSPELTO R- OA INSPECTOR Finish Wiring ..---A-- otors oATe' INseecTOR b-.............., - ...-----.... .. DATE INSPECTOR ELECTRIC SERVICE NOTICE OFFICE rpp�, BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO 10/- ------------ ....... 1��... To You are hereby au d to nne�e.E ECTRIC service for - o Owner or Tenant .. ..._ .. . ......_ ' cam"'. :-..: � :_. ...._... - --. ..., -- ................�..... At No. of Wires .... Size of Wire ....:................. Size of Switch . Motor Load --------- -- ----------- Voltage --------------------- .......... Phase .......... ....... HeatingLoad .......... ........... K. W. ....----...-------....._...... Voltage ._.............._...._----- ew Light ..............110 ._. i_Nvee Wiree.......�`.Move ID eters`.'------- No. of Meters ......._...._.... - Heat ..............220 ........._ TI No. of Add. Meters .._...... Power ELECTRICAL INSPECTOR -sno 104 7/61