2757 .may - IG
NO. STREET LOT NO.
o OR ELECTRICAL PERMIT
a D OF CUPERTINO
W LL MAY 221964
° Date O , 195— Permit No. 42-151
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° CITY OF PERTiN Fee $ /6 - o 6
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< Application is hereby made to the City of Cupertino for a permit to install electrical
W
W i 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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5 m City of Cupertino, an all other laws applicable thereto.
z_j Use of Premise
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O
3 a Owner ��� O Address
— b HEATH ELECTRIC Address
W a By ° COX 655 —
a o �S�%RrAt;hNMNIA p,pproved
—U Phone: -97 ,(`�// A17
ELECTRICAL INSPECTOR
State License: Phone ELgato 6.4422
NEW ' RPL. FEES
Size Service Conduit --------
- -----Number of Outlets..........._.....-- .. .... . 170
-00
.._.........Number Number of Switches-----Size Service Wires5;� -------- - ---------- ;6 -0
Size Service Switch----,,'—"'��,4-Number of Receptacles------------ --------- -
Size Sub Feed Conduit------------------Number of Fixtures_................
. ....... .......... ..
Size Sub Feed Wires-------------------Ranges......../.....
... KW...--------- ---------- --------- --------------
Number of Circuits------------------ Oven ..... ...... KW.. --------- -------
eq
--------------
r I
--- ------- - -- ------
--------- - --- ----- ----
Misc-------- D 1
Number of Meters..... ...............Signs ... .... Transf
rs-------- ---------- ----------
Motors. HP
Motors--------------
------ HP-------------------- Phase-------------------
- Permit Fee $1.00
Motors-------------------- HP-------------------- Phase-------------------- H P Charge-----------�/O!�
TOTAL FEES
harge--------- ------
TOTALFEES
CQYJ� OF INSPECTION AP VALS
'k—V't'A— Fixtures
?
Rough Wiring --------------- ---- FT, "S ... . -------------- -
INSIKCTOR DATE 11CT.R
IAIT f-
---?Moto,
Finish Wiring ................I..................... -------------------
DATE INSPECTOR Final
DA-/V— INSPECTOR