829 (2) C G s RtF
( Al O. LOT'NO.
OR ELECTRICAL,
PERMIY'"
Y 'ufl
� OF'CUPERTINO � �• ,
DQ RTIN0 19�d. Permit No.
Fee S / 0 s
Application is hereby made to the City'of Cupeitino for a permit to install elecfrical
•O %wiring and/or fixtures as listed on the.reverse side hereof, and agrees to install:said
wiring and/or fis in accordance with the provisions of the Electrical Code of the 1
City of Cupertino, and all other laws applicable thereto:
Use of Premi /
U I
a Owners r rJAddress
r '
By Address
CONTRACTOR, AGENT
eL Approved
Phone: J ELECTRICAL sPECIbt
\ \ \ \ \ 2 \
14) WWI,
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ELECTRIC SERVICE NOTICE OFFICE
COPY
+ �� .BUILDING INSPECTOR'S OFFICE
i ✓� " ` ' CITY OF CUPERTINO `
/d�
.. � ........ ........4.-.�- ..... ........................... 1961.
To
You are hereby authorize .t conned the EL RIC service for
Owner or' Te
At
....................................... ......... .... ..... ../. .
.
No. of Wires,................ Size of Wires _... :.^-,.... Size of Switch/ .... '
Motor Load'..................:'.: Voltage ........................... Phase...................................
d
Heating Load ...................... K. W. ---- ------- Voltage ................
...........
..No. of Meters ...../...........1 Light .....:........110 ..........
..---.New Service..:/...._..Reconnect --------------
No. of Add. Meters ........,-(Heat ..............220 ..r'......Three Wire ..................Move Service ..........
Power .............. Three Phas ................Move Meter ............
.......... 1U� l..Gri ..........................
t . 04 1/Go-soo GELECTRICAL INSPECTOR