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x o ® APPLICATIOk� '
OR ELECTRICAL PERMIT
01 � JtAR 27 1964 OF CUPERTINO
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Permit No. �A
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> Fee ,S 7 S
a w Application is hereby made to the City of Cupertino for a permit to in.(tall electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
00 wiring and/or fixtures in accordance with the provisions of the Electrical Cade of the
'> W City of Cupertino, and all other laws applicable thereto.
03
oa
zJ Use of Premises, residence
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3a Owner Deep Cliffe Dev. Co. Address 510 So. Mathilda, S/V
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w W By H, ra. WAf%1MFn7R _ Address
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G q C2GONTRAG70R^AGBNT �
< 0 SUNNYVALE. CALIFORNIA Approved —_
-0 Phone .` ELECTRICAL INSPECIOII
I� State License::2422
NEW RPL FEES
Size Service Conduit.... ..............Number of Outlets-------- ----------- _:;0__ ........... ......
Size Service Wires------ - -------Numbe"r of Switches................ .
.
Size Service Switch..a ../........Number of-Receptacles -- -- --- -- --- --_
.I....... .. No ..........
11 IT
Size Sub Feed Conduit.........14. Number of Fixtures---------- - ----- --- ------ .. .
Size Sub Feed WirJ1,A)P.Ranges....-a........ KW--.......... -----I... .......... ..........
Number of Circuits---------- --- Oven --- --------- KW--- ---- ..... .......... .......J.-
Number of Meters---------)------------Signs.......... Transformers .... .......... ..............
Misc.............. r- Dryers.----,-.......
-- --- ------ .... .. .......... ---
Motors......4 - ___ - Phase--------------------
- ------------ HP---V Permit Fee $1.00
Motors-----------_------- HP.................... Phase....................
Motors-------------------- HP--------------- ---- Phase......... .......... H P Charge.---....------
/ TOTAL
harge-------
TOTAL FEES, 1 �=
E E F
.ORD/ INSPECTION APPROVALS
Fixtures --------------...L.----._..__._------
Rough Wiri- -- ----- ----- ---------- ... Fix
W'r' DAT IINSIECTO .NTE ....INSPECTOR
- .............
Finish Wiri ---------------- ----------------------. Motors ------------- .........I....
DXTK INSPECTOR "T" INSPECTOR
Final ----_-------------------I---------_--------------