876 (2) o75L l ewes i off( j�
NO. STREET LOT NO.
PTIQ OR ELECTRICAL PERMIT"`
CUPERTINO
tNOV 1_ I* / a � �
Date O , 95 (—� Permit No. /
r{ITY � Cp Fee 5 /37_
App kation 1 erc4 Ia ftty 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
a . Gty of Cupertino, and all other laws applicable thereto.
Use of Premi
�• �
a Ownery Address °�
v
By _ Address
CONTRACTOR, AGENT r
/� � Approve jn
Phone: rK- —2 21/ ELECfR1C RiSPECTIOR
44
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6L6CTRIC SERVICE NOTICE OFFICE
BUILDING 1NSPECP6R'S OFFICE `_. ._COPY
CITY OF CUPERTINO.;
............................. 1961.
To f
You are hereby authorized to connect the. LECTRIC serde for
Owner or Tenant ../-, /1, ::'�:�.� l �s� '.'.... ..........7.
/ .............. / ...- --........................................
............. ...........1............ ..........................................................................
........
No. of Wires ............... Size of Wires ........ Size of Switch
MotorLoad ............................ Voltage ......................... ..... Phase....................................
Heating Load ....................... K. W. ................. ............. Voltage ................................
4/
Light ..............110 ................New Services'.............Reconnect ................
No. of Meters.... ............
_
Heat ..............220 r..!.:.........Three Wire ..................Move Service ..........
No. of Add. Meters ..........
Power .............. Three.. . ..................Move Meter ............
.................................-...:'.......................................
104 1/60.500 '"- ELECTRICAL INSPECTOR