1432 (2) NO.
I STREET LOT NO. . /67
TION -R ELECTRICAL PERMIT
JUr, s 196CzI b CUPERTINO
Date Permit No. Z
111L) Fee S % �j ALO
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.
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Use of Pr i Q cO
.v5 Own y Address
By Address
CONTRACTOR,
ACTOTOJR, AGENT _
Phone e 4T Approv -
'ELECMCAL niSPE
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ELECTRIC SERVICE NOTICE OF
OPFICE'
CV
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO /
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TO
You are hereby aut i dto till E L�E serv,c fo
J e r
Owner or Te
--- - ----- - -------
.. •...................................-..._.. . .. .... ...........
At ---
........ Size of Switchli::�.Ve.."�F:.
No. of Wires ,—V........... Size of Wim-
Motor Load .......................... Voltage ................................ Phase ....................................
HeatingLoad ...................... K. W. .................................. Voltage ................................
Light ..=.......lio .!��._.....New Service _.......Reconnect ................
No. of Meters.../-*"***.....�Heat ..............220 .4�......Three Wire...................Move Service ..........
No. of Add. Meters ._.......i Power ................ er............
ELECTRICAL
104 7/61-500 INSPECTOR