2818 (2) NO. STREET LOT NO. Z
N Q
r o FOR-ELECTRICAL PERMIT
o a ® OF CUPERTINO
4 Date ( JU� 194�z Permit No.� a l
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a Fee ti
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a w ��I�ati�Fis ki ��pq `he City of Cupertino for a permit to ms all electrical
r wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
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wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
5 City of Cupertino, andallother laws applicable thereto.
z_j Use of Premises—,Z'/71�
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3 a Owner ' hSddress
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OFFICE COPi'
ELECTRIIC SER I�E NOTICE
BUILDINGINSPE OR'S OFFICE
CITY OF` CU RTINO � !
L.._...... 196
ou re hereby authorized to connect electrical service for
Own enant '•• .. .
At .._....... ............... .. r ,. : :.. x x *-• ,... -------------------
No.
Y.... -- —_
No. of Wires ...... .......... Size of Wires ...`.`,r':..... Size of Switch0J� �
MotorLoad ----------------------- Voltage .....-------.................. Phase .-----------._-------------.�.
HeatingLoad ........................ K. W. ------------------------------- Voltage ................................
No. of Meters � H ............_ .� p
keconnect..................
./
eat.. Move Service...........of Add. MPower.
Move,Meter......
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1 1:
ELECTRICAL INSPECT
104 7/63-500 L 1