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NO. STREET LOT NO.
GgRT.ELECTRICAL PERMIT
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Date fv NE / Z- 19� Permit No. `
CITY OF CUPERTINO Fee S to s
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.
Use of Premiglq / rte" y
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CONTRACTOR, AGENT
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ELECTRIC tER'fiiCE NPLIFE OFFICE
BUILDING INSPECTOR'S Coyly
�4- OR CITY OF CUPERTF-1
J, 30
.................. ---- -------------------------------------
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You are hereby au rued to connect the ELE C—se-Rice for
Owner or Tenant -.---------------= ( ,�te-
----------r-?:--- -. ---- --- -
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-- -- --------
At -------------- --`--C1..----------- ' 'a �Q
---- -- ------ ----"`N' -
--
No. of Wires -------7:��------- Size of Wires --------- - ---------- Qrf Switch t5D.4UJx>
Motor Load -------------------------- Voltage ------------------------------ - Phase----------------------------------
Heating Load ----- --------------- K. W. --------------------- Voltage --------------
------------------
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• Light ------I
------------ -Reconnect -----------------
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No. of Meters------ ------------ Heat ------- ._......__,_Th wre-----------
- ------ n ._.......__.._Move Service ----------
No. of Add. Meters -------- Power --------- T(rj'�ase ..._...__._...Move Me,ter------------
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k- ELEC-M .......
104 7/61-500