1283 102 11yl ceC ��
NO. STREET LOT NO.
OR ELECTRICAL PERMITemz I F CUPERTINO
DEC 2010 1
Date , 195_ Permit No.
Q o0
Fee 5
AppWiY, i0FreQWEPPTt*10ty of Cupertino for a permit to install electrical
.y wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
M wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
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Owner 00 Address
By _ Address l/ `
C NTRACTOR, AGENT4Approv
'• Phone: ELECTBSUt ¢iSPECIbi
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ELECTRIC SERV NOTICE OFFICE
COPY
{� �✓ BUILDING INSPE OR.S OFFICE
CITY OF ERTINO .
.............. e���/ ---------------- ......... 196.1..
You are hereby autho '' d to conn the EL IC service for-
Owner or Tenant .---ICY... .-- ------ '----------------`..........
At..fDP2�/-....-l/ .....
-- - ------------------------ - -----------------
No. of Wires + ............. of Wires .._.- _-............ Size of Switch '----------—------
Motor Load .------------------------ Voltage --------------------------- Phase------ ---------------------
Heating Load ........................ K. W. --------------------------- Voltage -----------------.........
/ Light .............110 -----V...New Service_L .-_...Reconnect-.._-.---------
No. of Meters......yC.....----- Heat 220
-.._.___.. .. .-.Three Wire ------------------Move"Servire ..._....
No. of Add. Meters ...
Power e Phase-------:---------move Meter------------
104 1/60-500 ECTRICAL INSPECTOR.