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1512 (2) 1oS-Z11 L�I , 1 \ 2 Q NO. STREET '" LOT NO. TF ELEC_TRICAL PERMIT CUPERTINO' ,�JUL 2 5 1962 J Date �/ nC F� , 195— Permit No. 7-\ AQUn 4dU PR IATIN' Y P per $ A ICHt n er a It of Cupertino for 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 City of Cupertino, and all other laws applicable thereto. J Use of Premi �� © J�— L 1 v u a Owner Address Address //a I've CO TRACTOR, AGENT d X /l 47 _ ,f yy Approved hone: /T o� or' E CIRIUL INSPBC701 NEW RPL FEES Size Service Conduit......................Number of Outlets......... -.._ . ----- ---------- ........:..... Size Service Wires..........................Number of Switches---------_----- ---------- ---------- -------------- Size Service Switch..............__.__.Number of Receptacles.......----- ---------- ---------- ----- -------- Size Sub Feed Conduit..................Number of Fixtures.................. _........ .......... -............. Size Sub Feed Wires---------------------Ranges---------------- KW----....----- ---------- ---------- ------------ Number of Circuits................... Oven .............. KW------------ ------ -------...... Number of Meters.......................Signs.......... Trraan_sfor ers........ .......... -......... .........!/r Misc.---'---......................................Dryers---- ?. ------- -'- -------- ----...... .._7 .... Motors-------------------- HP-------------------- Phase...----------------- Permit Fee $1.00 Motors.................... HP..........._....... Phase..--------------- Motors.................... HP....--------...... Phase-------------------- HP Charge................ 7.� TOTAL-FEES RECORD OF INSPECTION APPROVALS Rough Wiring---------------- ............................ Fixtures ---- --------------- ....................... DATE INSPECTOR DATE I ECTOR Finish Wiring ....._....._... - .... MotorL�; L6 � ..-��- ... ... ..... DATC IN9P[CTOR SP Final 1i...� IPECTOR Ii e unde.rsigr-d doyhereb � ertify that A the owner and occupane a=8sie sing y dwelling at os� r NQS Q hich' I' am='making appli Zion to do -jC. a work;` as a homeowner. o cer i y hat I will' :not hire any non-licensed — e. ' r contractor, but will .do' this work myself. o ELEPHONE' NUMBER- IGNA