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2109 (2) NO. '.STREET \ ^SLOT No. A APPLICATIOA ELECTRICAL_,;PERMIT 4,1,Cj;� 110,f, 4M. 0F PERT1N0 r� DPermit No. t'h t^- pl Vtllr x.11 t n."- Fee $ 35 Application•is hereby made to the City of Cupertino for a permit to install electrical y w wiringaa,,,' "fixtures as listed on'the.reverse' side hereof, and agrees to install said ' wrrmg and%or fixtures in accordance with the provisions of the Electrical,Code of the � ty�of Cupertino wand all other laws applicable thereto. rW.� Use'of PremigA ' 7 Owner /AJ Address./°iB(w� �il2t�LGnSFn By Q�� W _ Address CONTRACTOR, AGENT Approve n. Phone:/ � ELECMCAL.INSPECrOl NEW, RPL.. Size Service ............ . ......... ............... -:5 Size Servi&Wires--- " -- --Number4mf Switch ' l ---*.----- ----�-(-- ---- - 3- - ..... ------ - * . Size Service SwiFch... :..:..Nu Recep ales........:... ------ - - k- - -- Size Sub Feed Conduit..................Number of Fires.................. . .......... . Size Sub Feed Wires.....................Ranges---------------- KW-------------- ---------- ---------- ------------- Number of Circuits---------......... Oven ...1......... KW------------- ---------- ---------- ----- Number of Meters........................Signs.......... Transformers........ .......... .......... ............... Misc...................... -------------- --------Dryers---.r------------------------------/---------------------------------- ---------- ---------- ------7r Motors.....-...Lf........ Phase-------------------- Permit Fee $1.00 Motors.................... HP----------......... 'Phase-------------------- Motors.................... HP------------------ - Phase-------------------- H P barge----------------- TOT#, EE! RECORD ON AP Wirin . JFixtures - --- -------.. ECTOR ------ PECTOR � .Finish Wiring .. : D..1:.. .. Motors S ---- . . ....... PATE T I "OT. Final ..... L .................. INSPECTOR OFFICE COPY '$ x•� + `+ .'xi�+vT ,�i "� NELECTRIC SER�VIC&jNOTICE BUILDING"INSPECTOR=S OFFICHi;: ..•CITY :60'CUPE, R�VINO 4 To I . You are hereby authoried to conned elect&aht" r ic'eY r ' Owner or Tenant ...............:. - ' .. ......... . ...... At ....... ...-�:. s RR '�1� ---- --------------------------- No. --------- -------------- No. of Wires .......Z........... Size of Wires -.._ Size-of SwitchQc Motor Load .......................... Voltage . ................. Phase - Heating Load.....................:... K. W. ............................... ... Voltage --- ---------------------- l�. (Light..---...._f. 11 o...../._ New Service.,...�:c Reconnect..._........._.. No. of Meters..-.-.---..._..._1 :-. (1l Heat...---- 220.---------.: ree Wi _ -.'..��" No.of Add.Meters.......---.. Power.............:. hree Ph e.--- 104 1/6$•500 EUCTa3CA1 INSPECTOR