2808 NO. STR T LOT NO.
N �
T FOR ELECTRICAL PERMIT
o OF CUPERTINO
UL 7 1964
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n w Date , 195— Permit No. t, _
CITY OF CUf
PEgTINQ Fee
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a Application is hereby ma e to the City oCupertino for a permit to install electrical
w z 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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5 City of Cupertino, and all o` er laws applicable thereto.
z J Use of Premises -
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3 Oner Address / p
W w ._ Addre'&2'//�firtd.�y�r�/l�lt��l.
O CONTRACTOR, AGENT A PProv
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—U Phon� — ECTRiZAL wsrecraz
14,,,State Licenser C/J
NEW RPL FEES
Size Service Conduit.fow ..:.Number of Outlets------------------ ---S_ I-ILI)
16 6 )5L__ ....... ------- ......_..----.. .._.._. .-.-
Size Service Wirosr ---2=--------Number of Switches- .. ....2....... ..... .........
Size Service Switch__/Dd_�-_'.__N=be, of Receptacles_......---- --/ - ---- -- ........
Size Sub Feed Conduit------------------Number of Fixtures_--------------- ---------- ---------- -------
114?77&-7 /000,
Size Sub Feed Wires--------------...Ranges------------- KW------------ ---------- -- --- --------------
---**--------
!
Number of Circuits--------.-..-..-- Oven -------------- KW_ ---------------- ------ ---------- --------------
Number of Meters------------------------Signs---------- Transformers....---/--- ---------- ---------- --------------
Misc------ ----------------------------------------Dryers---------' 45Z�111PA ----
All� 90
- - -------- - --5P -------
Motors-------------------- HP- ----------------_ Phase-------------------- Permit Fee $1.00
Motors-------------------- HP-----------------_ Phase--------------------
Motors-------------------- HP--------_.......... Phase..........._.----- H P Charge--------------- - - ----- ----
TOTAL FEES q, -1b
NSPECTION APPROVALS
Rough Wiring ----------- Fixtures ........ .T .........
.!.............
DATE 1-T.R 70,
Finish Wiring --- ............t Motors
I, I I------C Z-----------------
DATE INSPECTOR 'I"PECTOR
Final
C17�DA INSPECTOR