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N RE@T 'm a LOT NO.
AjPPLICATION F:tW ELECTRICAL PERMIT
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Com, JUL 19 9vCIIIYs'OP.-6PEMNO
2/.3
Date wJ_ _i� M v�w194a Permit No.
Fee $ /y 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
V wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
Q City of Cupertino, and all other laws applicable thereto.
O
Use of Premi<P< 1\� .
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Owner � Irl .� E"0�WP Address oC0 �t7 w r� n C
a By Address S�
CONTRACTOR, AGENT
Approved
Phone: R 6 6'oV o ELEC'rAIUl [(i1PEC7D1
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OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
.......................I---I.........r.....-------------- 1920
To You are hereby authorized)to C.2. Lnf electri ervi
..
Owner or Tenant ............................... 7.............*...........
_ I ------ .... ----------
At .................�:�v . ...
No. of Wires ..........c-;Z .... Size o f Wires Size of Switchf.W.Alu
:z,,.....
Motor Load .......................... Voltage .............------------------ Phase ............................
HeatingLoad ....................... K. W. .................................. Voltage ................................
No. of Meters.... 110....�'.�New Service...-----R-econnect------------------
JJJJJJ
'aThree ?Wire.....
Lis,
No.of Add. Metcrs ::�::�:::� Hear... 220... Move Service............
tttt
Power............. I Three hase..../ ...... Move Meteor.............
104 1/63-500 ELECTRICAL INSPECTOEU