838 (2) NO. Q -- -51liEE'r ,i . LOT-NO.
RipCI�i4rT F0 ELECTRICAL PERMIT
TY OF' CUPERTINO
1919 ..
Date — _' g 19$'�.� Permit No.
ERTN'09 Fee
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 .
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 Premises
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Owner ddress c
ro By Address
�1 CONrxncrOR, AGENT 'I -Approve 1
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Phone: 'e a ELEcnuCAL tN5PECTIM
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ELECTRIC SERVICE: NOTICJEOFFICE
COPY
BUILDING INSPECTOR'S OFFICE
- CITY OF CUPERTINO'
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You are hereby authorized tocothe �ECTR'I�;service
�for
- -
Owner or Tenant .._----N--.-t�-.l1. ....
At .........1.0).71.1.0-711.77.........
No. of Wires -------S.......... Size of Wires ...' ....r....: Size of Switch
Motor Load ............................ Voltage ........':: ........-Phase,................... ...._---.-.... o
Heating Load K W. ............... Voltage ------=----"-`-------------
� ��- R,.` .'
f Heat .............220 ......:...:&I w Service.................Reconnect-......`..: :
No. of Meters ._..........._.... -
... ._Three ire ... . Move Service....._ ,
...........
No. of Add. Meters .......... ----" --
Power .............. .Thre Phase..:.�`"S�agmove Mefer .
104 1/60-500 ELECTRICA - INSPE T