2756 NO. — ST LOT NO.
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a ® kkPPCflr FOR ELECTRICAL PERMIT
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3 < '� ' MAY 22 1964 of cuPExrlra0
uMAY 2 0 1964 Sb
F. ° Da'CITY OF 195— Permit No.
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Fee ti
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< 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
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> City of Cupertino, and all other !aws applicable thereto.
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z _j Use of Premises
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Owner �'to 4�/' i4 Address
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By HEATH r'EAQ R!e Address
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W w R®At,&X1 NT Approved —
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° L02° 7A , CALIFORNIA
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Phone: AdIftYLCAL INSPEC[OR
State Licens Phone ELgato G-4422
NEW RPL FEES
Size Service Conduit. -------Number-of Outlets------ --------
Size Service Wires---7-ZO -741 -tNumber of Switches...._.._....:. -2-2. ........ . .......
Size Service Switch-,,,05-�4ZZ. ...Number of Receptacles- -------- ...... --- --------------
Size Sub Feed Conduit------------------Number of Fixtures_...__......... ._.... n ---------. .—e-10,/0
Size Sub Feed Wires...-----------...Ranges...........I.... KW-- ---------- ---------- ---------- --------------
Number of Circuits----------------- Oven ............ .
KW. --- ----- ---
-
Misc---------------------------------- ------- -----Dryers.....-t........ ---------------------1-------- --------- ...... .......
Number of Meters...--_ TransforuipTs-------- ----------
----------
Motors---- -------------- HP------------- ...... Phase ----------- ------- Per Fee $1.00
Motors------------------------------ HP-------------------- Phase............ ......
Motors------- ------------ HP-------------------- Phase.................... H P Charge--------------/ TOTAL
_)glp,OF INSPECTION AP OVALS r47/r 40
Rough Wirini ----------- Fixtures . ..... .. ....
-r----------- ----- -- ----- ....
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..r INSPECTOR AT. INSPECTOR
------- .... .... . ,4---- ----------------------------
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Finish ................I......... Moto
- DATE INSPECTOR T� INSPECTOR
- ---- ------t__t
Final --- ----------------
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