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138 (2) le-1 71 NO. f STREET 'I { LOT NO. 2154 L1 APP ?AATI'g0- 1F R ELEGTR7�ICAL PERMIT I CUPER INO 3 n Date I �Aef % /LA 195A Permit No. �/ . I ;����� l=ee 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 Electrical Code of the City of Cupertino, and all other laws applicable thereto. V1 Use of Premi — C a Owner � - �_ 4s y By e .J.r /A Address CONTRACTOR, AGENT Approved Phone: ELECTRICXL INSPECT= NEW EEL FEES ON I —. e Size Service Conduiv......xl�-----...Number ---- --'Number of Outlets------------------ ---1,4. ..........I./4-.Q---- Size Service Wires..... ....Number of Switches................ ../ -- ---------- /s.,d..... Size Service Switch...../.0.0--.......Number of Receptacles------------ -14. .......... .. Size Sub Feed Conduit..._--- .........Number of Fixtures------------------ --A�.. .......... /—.O.. Size Sub Feed Wires..._...............Ranges.-----/------ KW-------------- ---------- ---------- -- - Number of Circuits..--- ........... Oven ..1......... KW.............. .... .. .......... .. Number of Meters.......Z...............Signs.......... Transformers........ .......... .......... ............. Misc---------------------------------- Dryers---------------------------------------- ---------- ---------- ---- Motors------ ------- Phase-------------------- Permit Fee $1.00 Motors.................... HP- ------------------- Phase-------------------- Motors.................... HP...._----------- Phase.......------.... H P Charge......----..... ---- --------- TOTAL FEES CO INSPECTION APPROV LSA i r:7'.......- Finish Wiring .... ....... Fixtures 'OR .......... 4a?,Pc T Finish Wiring ... ...... . .. rs ------ Ims OR ot DAT9 .................... -tFmaol . . ...... m5-.. CT INSPECTOR ELEC14(8 •SERVICE NOTICE copy BUIL IN INSPECTOR'S OFFICE _ MY OF CUP RTINO •} V ...........�:j-V f' .� ...................... 19: To You are hereby autho ionnect h)Electric service for �> '• ' Owner or Trnant �r�- C./-� lit....................... ' .................................................... .,........ ......�,,•, No. of Wires ....... 3 .'......... Size, of Wires ......:n............. Size of Switch./z:a7�i�! •� MotorLoad.......................:... Voltage ................................ Phase .......`.......................... Heating Load ..............:.:....... K. W. .................................... Volta . I• .. Light No.of Meters ............_110 ...............New Service .......Reconnect ................ I :..�............ ` Heat ......._.......220 ..........Three Wire ..................Move Service .......... Naruf Add. Meters .......... - •w Power.............. - /l Thrm Phase.__,.............Move Meter............ } • ... +i.%• ...... ............................... . 104 6/59-250 ,� _ _-ELECTRICAL INSPECTOR