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< h SfRi n e IOT No. 59
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x ° APPLICATIAN FOR ELECTRICAL PERMIT
CITY OF CUPERTINO
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IMte ll �r^ 7� 19 SL/ Permit No.
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a w APPIicationjs hereby made to the City of Cupertino for a Permitto install electrical
aw Lwlrmh 1110 r;fixtures as listed on the reverse side hereof, and agrees to install said
;iti' nd/or: (fixtures in accordance with the provisions of the Electrical Code of the
iiyof Cup r1ti o, and all other laws applicable thereto.
. 3
z �:. ,Use4of-Premises 1-fam, res,
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Pr 1tz-Crane Address Santa Clara
¢ a '.By. p n Address
° F �L1NNGi`ZNA �i (LIFORnItr. 11+/'I-1..1.""':7 ^ e+r•!s^^rgr.t�
a o - - . Approved _.—
_U Plume: 'PHONE 739.8421 ELECrRlrAL INSPEC7D1 ,
I� State License. 12422
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,.„ITEM NEW RPL FEES
Numberiof Outlets All,
Number'o,fSwitches
Number ofAcceptacles
Numbef ofFixtures
Ran es�orOvensK.W. 2
Size.of Main Service B-O
Numtier"of-Metcrs
Number of Panels /
Sig nsl-�Tiansfo'rmcrs
Moto"rs:,:
H:P Phs'se �'.•
FF:P:�Pbase. ''
Power'.Poles
Permit Fee' 2.00
H.P.Charges
Total t4 ees3 GAJ