2809 / •—IVO.` STREET LOT NO.
o P1". R ELECTRICAL PERMIT
0 a CI OF CUPERTINO
D
w 0V AL 7 1964
LL
° Date 195— Permit No.
° < CITY OF CUPRYiN[1 Fee S -�
a App kation is hereby ma a to the City of Cupertino for a permit to install electrical
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wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
j 4 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
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> m City of Cupertino, and all 'ie lass applicable there
z J Use of Premises t/
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3 Ow L X Address al-' "��
W w By Address
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Phone: 6 7 CONTRACTOR, Ac T A PP roved
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—U CTRIUC INSrPC701
t State License: 26-0
' .-NEW RPL .FEES
Size Service Conduit----------_---------Number 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------------------ Phase--------------------
Motors--------------- HP-------------._-- Phase----------- -----—
Permit Fee $.1.00
Motors-------------------- HP--------------- Phase------------------ H P Charge................I...
---------
TOTAL FEES
RECORD OF INSPECTION APPROVALS
RoughWiring--------------- ----------------------..- Fixtures --------------------- ------- -------------
DAT[ INSPECTOR DATE INSPECTOR
Finish Wiring . ..... .......
._........_..- Motors -----------__._..--.. ... .. --- .
DAr[ asrecrDR -7 DAT[ c
Final -- - -�. _.--�-- .. -----'
DAT[ INSPECTOR