1808 (2) NO. STREET LOT NO.
AP�P�AT NIFOR ELECTRICAL PERMIT
CI OF CUPERTINO
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Date 195— Permit No. r
CITY OF CUPfRTINQ Fee i� F°
Application is hereby ma e to the City of Cupertino for a permit to install electrical
IZZ 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
City of Cupertino, and all other laws applicable thereto.
v Use of Premi
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a Owner Address
By I. D. OWFNS FI EUPIC Address
770 South c0tP&kgoR)-!, 130X 927
Mountain View, Calif. Approved
Phony: ELECTRICAL INSiPCIL1
NEW RPL FEES
Size Service Conduit......................Number of Outlets............... ... ... .._....-- ..`.�/_. �
Size Service Wires-------------------------- of Switches.._.-- ------ ---------- -. --
Size Service Switch........._._.._.....Number of Receptacles------------ — ....---- ....J.
Size Sub Feed Conduit------------------Number of Fixtures.................. ..... .... ...------- ---
-NumbSize
Size Sub Feed Wires..-------------- anges---------------- KW----------- .......... --------- ---
Number
er of Circuits..--------------` ° .............. KW.............. ------- -- --------- -.------...---
Number of Meters------------------------Signs------
.... Transformers--------
- - - .-...---.-�-.-...---- ---.- -....
Misc.--"--- ....-.-------.------'-
...
-- -- ------- - ------ -- ----- 1 -U
Motors----- re-------------------- Permit Fee $1.00
Motors-------------------- HP-------------------- Phase..-..----._._---
Motors------------------ HP----------- -------- Phase...... -------- H P Charge.... ........... .1�1-
TOTAL FEES
INSPECTION APP• OV LS
Rough Wirin 3 Q Fixtures `f-.-.i. ..---EC-'-_..
CCTOR , I l�C IXIRECTOR
_ WI i
Finish Wirin CAA a Motors ... .--- --.. _-- -�-- ---.�- OR...'�
��oArc iRaRccroR c� �RnccroR
�. Final �l�
OAT[ 3CTOR
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I
TEMPORARY ELECTRICAL SERVICE
aase
DATE: .z e- v
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® OWNER: j GK./.....T.-...... Ls---........_.._._.....
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/APR 9 196
AT:
CI 'r OFLOf OPE.- ,'
REASON: . .5toepresponsible
The undersigned agrees for the electrical service at the above location,
until the building/ ready for occupancy, and is released by the Building Department,
City of Cuperti, q
Phone
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INSPGC"f0 TENANT OR O\CT'8R
I16 7/63.500
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TEMPORARY ELECTRICAL SERVICE
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DATH: -----' --- - -�.n �.:3
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CITY G't°TCllf' ,t; . -_. _..
REASON: ..... .....
The undersigned agrees to be res nsiblc for the electrical service at the above location,
until the buildin is ready for occupancy, and is released by the Building Department,
City Cup r
- - ---- - - - _/ Phone
-
I KPICP R 'TENANT OR OWNER
116 i/63-500
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