2702 NO. STREET r- _ LOT NO. ✓�
N Q
r o OR ELECTRICAL PERMIT
oCI F CUPERTINO
5 APR 24 1964
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4 Date , 195_ Permit No. o,��,
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r Fee S
c[; T QF r�JPERT �t �.
a N Ap'Il -tin is hereby rimaae'to the'�City of Cupertino for a permit to install electrical
W
W r wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
LL 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 laws applthereto.
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jz Use of Premises_ 4
o
3 Own Addres��B
N
w w By _ Address
O �./pCONTRACTORR, AGENT pp
A roved '
ELECTRICAL INSPECTOR
g State License o a7S
_ NEW RPL FEES
'Size Service Conduit---------------------- of Outlets.................. .......... .......... .
Size Service Wires.._.....................Number of Switches----_____. ---------- .
Size Service Switch........................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-------- Transformers------- --------- --------- -------------
Misc.------...._----------------------------Dryers------------------------..__ ----- --------- --------- --------------
Motors-------------------- HP----------.--.---- PhasePermit Foe $1.00
Motors-------------------- HP----------------- Phase....
Mot
ase
or(J'dive4. ; P -- - Ph ...........TOTAL FEES
Charge
--------------
�- y/ 21 0�.
RECORD OF INSPECTION APPROVALS
RoughWiring----------- -------------------------- Fixtures ----------------------I ------- ------ ---........
DATE INSPECTOR OATS INSPECTOR
Finish Wiring ---------------- ----------------------- Motors -----
----------
DATE INSPECTOR y u �Ix - --R
Final .. ... .J.. . ......�...t....-----..... .'--
DAT[ INSPECTOR