857 (2) NO. STREET' LOT NO. le, �.
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APPLICi4TION"!F .ELECTRICAL PERMIT
q2 CI•T.Y F'.eUPERTINO
Date �{,/_ -• p 195^ B Permit No. .
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Applicatio"n is fiere6y made to•the�CityQf Cupertino for a permit to install electrical
`Wiring,a�4 n r fixtures-as listed on the reverse side hereof, and agrees to install said
a"'•wizen and,or;,filtures in accordance with the provisions of the Electrical Code of the
'City.gf, Cupertino, and all other laws applicable thereto.
"'r v Use of Premi
3 Owner y�/n �?�lt%Llipddress
�{ Address Z/
CONTRACTOR, AGENT
Approved
P one: LEMUCAL WSPECIM
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ELECTRIC SERVICE NOTICE °oPYE,
CJ (1 BUILDING INSPECTOR'S OFFICE -` •i-�,
CITY OF CUPERTINO '
........................ 1. .:� .........:..:............, t96.
I TO
YIN are hereby authi dVnect the TRIC service for
Owner or Tenant .. .. ..e - - . ...
At
No. of Wires ....,2................ Size of Wires��---------- Size of Switclu/�
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Motor Load ............................ Voltage ................................ Phase........::-----.................... t
t
HeatingLoad ........................ K. W. ------------------------------- Voltage ........................ I
`� '.
Light ..............110 .....-..........New Service..................Reconnect ................ t
i No. of Meters ...._�...........
No. of Add. Meters
Heat -....._ ._.._..
-----2201<...........Three Wire ......... Move Service
........_ t
Power .................:. hree' a.......__.......Mote Meter.....-------.......
I
................ ..... . --- --.. ...:..-.:.:.........
l04 1/GO-500
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ELECTRICAL' INSPECTOR '?
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