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1065 �T J0. ee NO. STREET L NO. �1 PI rr�• I{ ELECTRICAL PERMIT C[���QP'CUPERTINO JOH 23 1961 1114=L�l+LL�ll�ii�11 / a b Date , 195— Permit No. i ab Ln 4 �RIFee � � Applr'li� js cby e o t e CNOity of Cupertino for a permit to install electrical J wiring and/o;fixtures as listed on the reverse side hereof, and agrees to install said �Q wiring and/or fixtures in accordance with the provisions of the Electrical Code of the City of Cupertino, and all other lams applicable thereto. Use of Premi<es ;.a VAL Owner L O- d By X " Address x�1fiMTROCTOR��EC/T.� ,�;1 7 1 ��r • I , ,. a ., iApprove _ Pht � I ELECTRICAL INSP 0701 /�\/ I NEW RPL FEES Size Service tt -NIr COutlets--...... --- --- - --- - -- ----- ---- Size Service Wir -- ----------------------Nurnbei 03' Switches..-------- - -- --Size Service Swih ............ .........Number Receptacles--------- ---------- --- . .. . .............. Size Sub Feed Conduit------------------Number of Fixtures.................. .......... .......... .......... Size Sub Feed Wires....................RangesRanges---------------- KW----------- ---------- ---- ----- -------------- Number of Circuits------------------ Oven -------------- KW...----------- ---------- ---------- ---- ......... I — ej(D Number of Meters.................._-...Signs..._..... Transformerc�) -\� *--*--*--- ------- - ------------ Misc------------------------------------------------Dryers---------------------------------------- ---------- ---------- -------------- Motors Motors------------------ HP....._._.......... Phase--....._........... Motors........ ........... HP-------------------- Phase......------------ Permit Fee $1.00 Motors-------------------- HP� ------------------- Phase-------------------- H P Charge----------- -----�;� -.TOTAL*FEES RECORD OF INSPECTION APPROVALS Rough Wiring.......i--------- ---------------------------- Fixtures ------ ---------- ---------------------------- DATE INSPECTOR DATE El TOR "Into .... ...... . Finish'Wiring .---------------- .D A ------------------------- E TE INSPECTOR Final DATE INSPECTOR