2359 (2) 10534 Orange Tree- Lane
NO. 'STREET LOT NO. 2 Plan 2420.
APPLICATION FOR ELECTRICAL PERMIT
CITY OF CUPER NQ �
SEP t,r� g//CCD
Date u - '�`� , 195— Pe mit�No. �
Fee
Application is hereby made to the City of Cu ino fo permit to in all electrical
N Y3f t T�r� f e"lie
a wiring and/or fixtures as listed on the reverse SisI e hereo , and agrees install said
-:r wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
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City of Cupertino, and all other laws applicable thereto.
u Use of Premi«g residence
v _
Owner Blos Som Valley Homes . Inc. Address Cupertino
By H r_ wANr1RT7G_R Address
�' eaarxaLanTc RGPtva ..
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SUNNYVALE. CALIF'ORNIA'�� Approve - �
(7t�I Phone:' e - ELECTRICAL INSPECrOX
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OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
.......... -- --------------- ---------------- 196
You are Leby an rizpd to connect elect?,' servic for
ti
Owner or Tenant* ------
------------ -- ---- ----- ------------
---------- -------:..................
—7
No. of Wires ------!t :'��
t�............. Size of Wires. k4 V-------- Size of Swi .........
MotorLoad -------------------------- Voltage ................................ Phase --------------------
HeatingLoad ........................ K. W. .-:............................... Voltage i------- .................
No, of Meters. (Light............1-- 110-----t!... New .... Reconnect..................
Heat.....ef�..... 220.....
No. of Add.'Me"t'e'rs..... ....... Thre Wing---------------- Move Service............
I -01
Power........... Phj,............ Move Metej.............
Ik
ELECTRICAL
INS �-
L E�
104 7/63-500