2713 22374 . Riverside Dr. 84 '
NO. STRELT _ LOT NO.
o Plan 200
E X ® �P ' ATO FOR ELECTRICAL PERMIT
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0 < APR 2 7 1964 - 1 of cuPExTlrao
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Dat �• —• •— , 195— Permit No.
o < 'Cll, I �C r '•. Fee
a m Application is hereby made to the City of Cupertino for a permit to install electrical
w i wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
r �
4 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
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5 City of Cupertino, and all other laws applicable thereto.
03
z_j Use of Premises residence
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3 a Owner Deep CIA.f£e,Qw. Co. Address 510 So. Ma thi lda Ave.,
- H. G. vvr -� unnyvale
w w By K7FER ROAD Address
rc a NTAAQE NTO SUNNYVGOr
Q
Approved
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PHONE 736-54a1 pp e
—U Phone: ELECfRtGi rNd►PC[O�
State License: 12422
NEW 'RPI FEES
Size Service _?5
Conduit...?//
onduit... ..............Number..
of Outlets__............_ . . -- --------- ----
Size Service Wires------�42------------Number of Switches....__........ .
Size Service Switch_a�#9-----Number of Receptacles.........._ �kj ... ..... ..............
Size Sub Feed Conduit/ --Number of Fixtures----------------_ ....... ... ...... ..............
Size Sub Feed Wire,61V.t,7!I��P_Ranges..__/....... KW------ /---- '?
.... ...... .
Number of Circuits.-..---�'/ ..... Oven ...I......... KW........-_- ---- -- -------- ----
Number of Meters------ ................Signs.......... Transformers_....... ..._...__ ---------- /6-0
Mise---------I------------------------- ------Dryers....j--------- --------------------- ----- ---------- -- ---;tr
. ..........
Motors----!r------------ HP ........... Phase----------- - ----
Motors---------- --------- HP.................... Phase Permit Fee $1.00
-----------
Motors-------------------- HP.........I........... Phase------------- H P Charge-----------TOTAL FEES
CO F INSPECTION APPROVALS
Rough Wiring .1.2174 ...... ........ ----------- Fixtures -------------------
AT ORDATE INSPECTOR
FinishWiring ................ -------f Motors ------------- ---------- ----------------------------
DATE INSPECTOR IF 00
Final ..............
DATE WE..Tom