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N 8 £ELOT NO. J9�
�Ap,P1�14L1 FOR ELECTRICAL PERMIT
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Cl ='OF CUPERTINO
Date Clj) ,W VUPERTINQ954�o Permit No. -
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
pertino, and all other laws applicable thereto.
City of Cu
y Use of Premiges
-
c
;.j Owner
By Address ^C—
� CONTRACTOR, AGENT'
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2 Phone: i� � 2 —O,�u�/ - ..APP. ELErnuuL INSPEcroi /
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ELECTRIC SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
.......................... 196...
.......................//
TO
You are hereby aut ri ed o connect t5e-MCTRIC service for
Owner or Tc ere;
At
------------ ------------- ---------t ......
No. of Wires .........'. Size of Wires -e:F5---------- Size of Switch
MotorLoad ............................ Voltage ..................... .......... Phase............................. ......
Heating Load ........................ K. W- ---- ----------------------------- Voltage .............
..........
I-ight ..............110 ...............New Service---- .....Reconriect" '
No. of Meters
/..........
.
e-t'e-rs .......... H ,t ...-220 ................Three. wire ............
No. of Add. M
Power -------------- ter —---------
..........
104 1/60-500 ELECTRICAL .INSPECTOR