1001 Wav
STREET LOT NO. q
ELECTRICAL PERMIT•
'IMAR 2D1961tOR
of CUPERnNO
Date >27,1A J� 19 Permit No. l D 0t
Ully ur LoUPEKHRU 00
Fee $ /l
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.
u Use of Premi
:a Owner ��syi' Address
,�4 By a} _ t'cdlltc�'�`,'4* t77!t4i•rii iJ Address"
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ELECTRIC- SERVICE NOTICE OFFICE
4
A L� COPY
. BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
................. 6
.......... 4
............................ 1961..
TO
You are hereby authorized to connect the ELECTRIC service for
Owner or Tenant
........... .I..
. ............ .......................... ......
........ ..............
At.....10:5Kxif.. ..............................f��Olco
........... ...................................................
No. of Wires,�r7................ Size of Wires'-'...- Size of Switch,,/
MotorLoad ............ .............. Voltage ............................... Phase....................................
HeatingLoad ........................ K. W. .................,............._ voltage ................................
110 ................New Service ...........Reconnect
No. of Meters. Three Wire ..................Move Servic................
...*---------
Z
Light
No. of Add. Meters .......... Be. —220 .'.........Three
�Power ......... -�flireey.hase..................Move Meter............
I I , .... ....................
. ...........
too 1/0-5oo , / ELECTRICAL INSPECTOR