2423 '20011 Somerset N— _
NO. TRE: LOT NO. 11 Plan 131
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ICATION�R ELECTRICAL PERMIT
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Date STV n rpTING195— Permit No.
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a 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
w wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
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5 0 City of Cupertino, and all other laws applicable thereto.
O <j Use of Premises _ residence
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3 a Owner H. i tz–Crane• Address San Jase
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w Z By gow KIFER ROAD Address
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u 7 SUNNYVWd;TR.Cci''34FAM'
< 0 PHONE 735-55=1 Approved`
—0 Phone: ELEQRIUL INSPECTM
�7y State License: 12422
_ NEW RPL FEES
Size Service Conduit...._ .......Number of Outlets-----------....... . �-
Size Service Wires----------- ---Z.......Number of Switches......._....... 'ZD - y
.11
Size Service Switch-------- 0....Number of Receptacles._.....__ .35... 3.._-. .._.._I. ...
Size Sub Feed Conduit---------------_.Number of Fixtures........---------- --��._ --------- _X.b- .
Size Sub Feed Wires--------------------Ranges...... -------- KW-------------- ---- �s,
---- ------- -- ------------'
Number of Circuits..--1----------- Oven ---- ------.. KW...------'--- ---� •7-f
--- ---------- --------------
Number of Meters....-I-----------------Signs---------- Transformers-------- -------.. ._....--- -------.-----
Misc........_...... ----...- ------� }} Dryers------------------ .................... .----- -------- -------------
Motors........--.-.... H 1/1 Phase-------------
Motors-------------------- HP-----------------. Phase----------- ----
Motors----- ------------ HP...... ..........._ Phase.....--------------- HP Charge.--------------- --'
TOTAL FEES
OF INSPECTION APPROVALS
Rough WirQ -------- Fixtures ........_-----..... .. ........_....------'--
AiE INSN[CTON OAT[ IMST[[TOR
Finish Wiring ...... rs ....------------�--
01T[ INfTWTOR I _,�Ti_/. .. N[CTOR
Final ............
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