875 NO. STREET LOT NO.
rN
t�:�"r-� N ,FOR ELECTRICAL PERMIT
CI F CUPERTINO
V 1 1 0
Date 195 � Permit No.
App��TT��// n CDT n' Fee $
lihlt , orle,QVIAq IVOity of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
f wiring and/or fixtures in accordance with the provisions of the Electrical Code of they
City of Cupertino, and all other laws applicable thereto.
Use of Premises
a Owner �� l� �l Address
BY AddressGI
g�t�
CONTRACTOR, AGENT
4Approved
Phone: Ql.. �-2V—o '✓ ELECTRICAL INSPECTOlt
NEW RPL rco
N---- - Mete ` | I | ~'
00�---'_—'_---_--D --------'_|—�—\---J_��l,/�
Motors—'.-j----------- 8P------------------ Phase--------- ------ ' Permit Fee $1.00
Motoo ---''— }{P'--_---- Pb��------
— 1a�
orrfr_
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
----------*--------- ------ ................ 196_`2_:.
To
You are hereby aut oii d two con t the EL TRIC servic or /1
Owner or Tenant._ ._ .,.. .....+ . . . ........t .(
_ ... l"Ao .
X11- .....
No. of Wires ....7.......... Size of \Vires _.z''.:..... Size of Switch
Motor Load .......................... Voltage ............---- ---------- .. Phase----------------------....
Heating Load -..... .............. K. W. ................... Voltage ................ .............
Light ....... ✓ to _ Ne
1 ...... w Service ----- ........ Reconnect ...............
....................
No. of Meters _
Heat ..._L.---�2 20 ........_....three Wire...... .........Move Service ----------
No. of Add. Meters --------- Power ._......._... hree P as _
. Move MeterPP............
..._.._. . t... 4a..iyt._
104 7/61-500
ELECTRICAL INSPEIQOyt X
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