2018 NO. STREET LOT NO. 44(/4"
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APPLICATION FOR ELECTRICAL PERMIT
CITY iOF CUPERTINO
MAY 14 1963 �� '
Date 5 �1 , 1;1�` Permit No.
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Appl ation is Hfeby a�e`t�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
v wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
M City of Cupertino, and all other laws applicable thereto.
Use of Premis,=
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;.7 Ow Address
LLLe;, Address J606 Nom' C TJva
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CONTRACTOR, AGENT
Ap oved
Pho ECIRXeAL rNsreeroa
NEW - RPL FEES
Size Service Conduit._. l-....-...�...
I/c ---Number of outlets.--- .. ... .......... LS.... L 5�
Size Service Wires---------"t------------Number of Switches ------------- ---------- 2�__I ._Z,/ O
-
Size Service Switch...- r�........Number of Receptacles------------ ---------- 3-S--- _}._.y0
Size Sub Feed Conduit------------------Number of Fixtures------------------ ---------- ---------- -------------
Size Sub Feed Wires------------------Ranges...... ........ KW----------- --------- ------ ------1..
Number of Circuits------------------ Oven -2...-'' KW------------ ...... ---------------
Number of Meters........................Signs.......... Transformers......-- ---------- --------- -------------
Misc------------------------------------------------Dryers.----�-------- ------------ .......... .......... .....-7z'—
Motors.........-....._. HP----- Y._...--- Phase---e;—R .-. Permit Fee $1.00
Motors------------------- HP....---_........ Phase----------------
Motors------------------ HP...... ....-........ Phase---------------- H P Charge------------ ------ ----->
TOTAL FEES
_ _ INSPECTION APPROVALS
Rough Wiring �`.. ... ...... . .-"--' -...................
.-�— .. Fixtures
pp�♦y�� S! TO OAT[ f IMF[CTOR
Finish Wiring .f�a..:'.... " . ._._ ...... otors ..----------I....... �..-!1.=--------'-'-------
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DATE
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