841 (2) NO. Q�REE LOT NO.
TF ICATIpp ELECTRICAL PERMIT
SEP 23 196�I F CUPERTINO
Date 1K5 L- Permit No. 4
Fee $ /j. of f
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
p 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 Premi
Owner Address
By Address
NTRACfOR, AGENT /
Phone: �-e- -�-3/Lc..z� APPr, Eif L u+srecrna. I` U
mow. LJ
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OW
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ELECTRIC SERVICE NOTICE orrJCE
co
BUILDING INSPECTOR'S OFFICE
1 CITY OF CUPERTINO S
f / /
To
You are hereby authori ed to co ct the ELECTRI rvice for
Owner or Tenant . ................ �.,Cj��
_...
....................................
At...... .-_ � ..��� :.:.......:......... - ......-...-................
No. of Wires ...3........... Size of Wires ��........ Size of Switch -142.PA.
MotorLoad ............................ Voltage ............................... Phase....................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
Light ..............110 ................New Service..................Reconnect ................
No. of Meters ...._�...........
No, of Add. Meters .......... Heat ..............220 . ..........Three Wire ..................Move Service ..........
Power .............. Three Phase...-..............Move Meter ............
........... ....
. .. ........................
.-........
......
-...........
104 1/60-500 ELECTRICAL INSPECTOR '