2754 0 NO. EPPILI
A E LOT NO.
1O l R ELECTRICAL PERMIT
0 MAY 22 1964 -- OF CUPERTINO
MA 2 T 2
0
DateCITYt 195_ Permit No. v
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Fee S16--'?o
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< Application is hereby made to the City of Cupertino for a permit to install electrical
w = wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
j LL wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
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5 City of Cupertino, and Aother laws applicable thereto.
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oa
z J Use of Premises
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3 a Owngr A&a J G Address
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w w By HEATH
RqQFtFc•Tatr _ Address
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a a x A6�ENT
O f Los �R`�d4, C AtIFORNIA APProved —
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—U Phone: ernCUUC L JESPECTM
State Licens Pfi-n., eLg.,to 6-4422
_ NEW. RPL FEES
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Size Service Conduit. .....�.�......Number-of Outlets.................. !Ly 1
-
//� --/ ---- ....- --- - -
---.... .-
Size Service Wire�.l... umber of Switches..........._..
Size Service Switch..e 1� .Number of Receptacles_ ......... ......_.. ..............
Size Sub Feed Conduit------------------Number of Fixtures........._.......
Size Sub Feed Wires... ---------------Ranges................ KW___...... --------- _.....---
_--......----
Number of Circuits------------------- Oven . KW------------- --------- ---------- -
Number of Meters------------------------Signs.....-.--- T,qC-rmer7S._- ---------- ------.-- --/c**
Misc-------...-------.....------------- -'--.DryCIS_. .._.......------- ------"- - -
Motors.. ........... H --- --- --- -... Phase.-..-----...... Permit Fee $1.00
Motors-------------------- HP -- -- Phase-------------' -- t7
Motors.-------------_- HP...------------- Phase.................... HP Charge....---------- �'-�---
/ TOTAL FEES
tt O OF INSPECTION AP OVALS O
Rough Wiring" �-v- ~�------ Fixtures ------ -..._----�- '-----'---------..-.
DATE INSPECTOR I O [ / IM[R[CTOR
Finish Wiring ---------------- - --- MotorsIYf.;...-�' -- �'-'-
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DATE INSPECTOR INSPECTOR,
Final .. ...- -CCC--///--- --.....-
DAT INSPECTOR