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146 (2) NO. �lyRE« LOT NO. kAPPLI' 2 15 4 ON FOR ELECTRICAL PERMIT OF CUPERTINO Date, _ 195 Permit No. Fee 5 ApplicationrisCherebyjmad t8 tH City of Cupertino for a permit to install electrical wiring and/oi•-'$ixtuies�as�i�ed�'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. V, Use of Premises_ ✓ Owner,/r-�ai✓�/ ��� ��.� s By Address _fie CONTRACTOR, AGENT / Approved C Phone: ELEcnucAL mspwrm J NEW RPL Fs ES Size Service Conduit--- .Number of Outlets............. ... ...�-#- ----- . .... Z._----Number of Switches--=------------- -- Size Service Wires... .-.L.:.._.'.<... -- ---------- -- Size Service Switch... ._.......Number of Receptacles...........'.. .;...... ..3.G.2... Size Sub Feed Conduit..................Number of Fixtures.................. - -- --- ---------- - Size Sub Feed Wires-............._..Ranges......./...... KW.............. .......... .......... ... Number of Circuits................... Oven ..../-------- KW.......... .......... .......... .. . .......... Number of Meters......-.............Signs.......... Transformers........ .......... .......... .......... Misc---------------- ryers....................................... ..........I.......... Phase.................... Permit Fee $1.00 Motors --------21.L Motors.................... HP.................... Phase...._............-. Motors-------------------- HP-------------------- Phase........--------- H P Cliarge................ TOTAL FEES . WyIECO INSPECTION APPWV 'S e ------------ Fixtures 4 Rough Wiring -2 Finish Wiring otors ........... CTOR . .........I� .'........_- DAT- ..TO Final ...... ---- DATI I.SPECTOR ELECTRIC SERVICE NO OFFICE COPY BUILDING INSPECTOR'S OFFI CITY OF CUPERTINO .......... 1 rw'h.9...... ......... 19> To You are hereby authgrize to connect thectric service for Owner or Tenant .. :............... ....................................'j At x — .. L' •. Q No. of Wires Size of Wires ...:_.:'........... Size of Switch =�Xl./ MotorLoad ............................ Voltage ................................ Phase .................................... HeatingLoad ........................ K. W. .................................. Voltage ................................ Light ..............110 .... ......New Service .. .......Reconnect ................ No. of Meters..:... ......... Heat ...............220 ..`........Three Wire ..................Move Service .......... No. of Add. Meters .......... Power.............. -t Three Phase..................Move Meter............ ,�• 104 6/59.250 ELECTRICAL INSPECTOR