827 (2) LOT NO. Sj - •.�'
ARPLIC T O 6R 'ELECTRICAL PERMIT-"'.
OF CUPERTINO ..
Datc w � 1+` RTINFl 194�d Permit No. V� 1
Fee $ �Q ,5 . . ,.c •.
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_E_lectrical 'Code of the
City of Cupertino, and all other laws applicable thereto.
1 „ Use of Premisl
Owner 4
a u)�LO � � � � ��• Address D • A��-� /�`
By s�•Gi �/ ) " Address.
CONTRACTOR, AGENT
_ Approv
ELEmuu MPEcrost
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`'. .ELECTRIC SERVICE' NOTICE OFFICE
3 > BUILDING INSPECTOR'S':OFFICCOPY
E,
CITY OF CUPERTINO
l: /�
196..
To "
Owner or Tenant C/ ER
You are herebyaut oriz d onnect t L IC service for
- - .QGK—r20���G!/ .. - .
At Te
• No. of Wires -"---�................. Size of Wires��........-- Size of Switch es . --•
Motor Load ............................ Voltage ..................... Phase
HeatingLoad ........................ K. W------------------------------------- Voltage --...-.........................
l
Light ....:.........110 _ ----...New Service..................Reconnect ---_-_........
No. of Meters -1....:.........:. 8 - ` r/ a
Heat ...........:..220.:..............Three wire t-------.-.._...-bfove Service ..........
- No. of Add. Meters .:-..::...
Power ..............
. •-'` See Ph e�1Moce Meter ..-.--------
.!----- ------ ----------------------- ---------------
104 1/60-500 12 ELECTRICAL INSPECTOR
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