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•NO i STREET LOT NO.
ELECTRICAL PERMIT
CITY t ' !CUPERTINO '
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Date / 7 / 5� 4�, 195— Permit No.
01TY Of CUPERTINO 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
By
�. �1CONTRACTOR, AGENT
Phone:
w Address ,/ a
?G Address .5010 !!G .dG.O
1.4 Approved
S ICAL INSPRCTO2
Misc---.....-- ----=• ------Dryers-----
Motors .......... HP --. C?t�±':...... Phase
-----
Motors... ................. HP.--! ................ Phase
Motors .................... HP. ------------------- Phase
Rough Wiring
Finish Wiring
INSPECTOR
..............
------ Permit Fee $1.00
....... H P Charge ------------------i.
TOTAL FEES qd
ON APPROVALS
Fixtures-----------------
OSTE INSPECTOR
DATE INSPECTOR / �E
Final �,! ..J .Z.... �--- - ----------
DATE INSPECTOR
NEW
,Size Service Conduit--- ----.....Number
of Outlets ..................
.1.7
Size Service Wires. -.------------
NLimber
of Switches ----------------
;.02
Size Service Switch-4D0.�Alh�n..Number
of Receptacles .............
/
hY.
Size Sub Feed Conduit..................Number
of Fixtures ..__............
1..
Size Sub Feed Wires------------ -------Ranges.............
KW.:;....._..........-...
Number of Circuits
Oven ...
W
I........ KW---
...................
...Number
Numberof Meters ........ .-.-.-------
Signs ----------
Transformers ..................
Misc---.....-- ----=• ------Dryers-----
Motors .......... HP --. C?t�±':...... Phase
-----
Motors... ................. HP.--! ................ Phase
Motors .................... HP. ------------------- Phase
Rough Wiring
Finish Wiring
INSPECTOR
..............
------ Permit Fee $1.00
....... H P Charge ------------------i.
TOTAL FEES qd
ON APPROVALS
Fixtures-----------------
OSTE INSPECTOR
DATE INSPECTOR / �E
Final �,! ..J .Z.... �--- - ----------
DATE INSPECTOR
ELECTRICM SERVICE NOTICE OFFICE
Ip�L
BUILDING INSPECTOR'S' OFFICE
CITY Oh CUPERTINO
:.............. f //1. ------------------ 196,2-r
You are hereby authorii
to connect the ELE servic
Owner or Tenant ------..
.. ..� ......�.. .°j
...
At
............
No. of Wires .. ...........
Size of Wires7.`:'.--------- Size of Switch
Motor Load .....--`..`.............
Voltage ......... ..------- .............. Phase .---------------------------- ---
Heating Load ----:----------------
K. W . -------- :.,... ..------ Voltage - .............
//.............
Light ......._G... 110 .Y..........New Service ... Reconnect ................
No. of Meters ..... .1....... ----
�H.t 220 J1' Three Wire _........ Move Service '
No. o Ad,]. Meters .__-_..
. .........
� '
Power -------- ...._... hre ............._ 1ove Meter..:........
'
ELECPRICAL INSPECTOR
104.7/61-500
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