867 (2) NO. STREET LOT NO.
f OR ELECTRICAL PERMIT` r
OCT 2 ' 1960 OF CUPERTINO '
Datc I vy , 196^ 6 Permit No. _ �`-'
C Fee S
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
1> 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
Owner 4 OCA„ rti1/ 05:�ddress
Address
Approve
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By f \
�/ CONTRACTOR, AGENT `
/SLG^r
ELECTRICAL RISPECTOl
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ELECTRIC SERVICE NOTICE OFFICE
II
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO
-------------------- .................... 196.0.
TO
You are hereby autjQ�e�o,.cpnnect thpf74TRIC service for
Owner or Te
- - - - -------- -- - - --------- ----------
At---103&� ..... . ..........
---- - - --------------------------
...... ............ .....
No. of Wires ...4F............ Size of Wires --------- Size of Switch ......... .........
Motor Load ............................ Voltage ................................ Phase.....................................
HeatingLoad ........................ K. W. ............------....._....... Voltage ................................
No. of Meters..../............)Light ....._.......110 ................New Service----✓- .......Reconnect ---I.............
Heat ..............220 se✓...........Three Wire ..................Move Service ..........
No. of Add. Meters �Power .............. hree P e......._....._...Move Move Meter.............
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104 1/610.-5001. ELECTRICAL INSPECTOR