2590 NO. STREET LOT NO.
o O, R ELECTRICAL PERMIT
o CI OF CUPERTINO
FEB 13 1964
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'.0 Date 195— Permit No.
LL < CITY OF CUPERTINO
0a Fee SQq
a Application is hereby made to the City of Cupertino for a permit to install electrical
w 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 m City of Cupertino, and all other ImNs applicable theret .
z j Use of Premises
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3 < pwper �• G Address
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By cN .0 �O ._ Address
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CONTRACTOR, AGENT
< o Approved _ y�
—0 Phone: 33—�Xo 3 ELECTRICAL INSPECIOX
State License:
NEW RPL FEES
Size Service Conduit._...................Number of Outlets._.......-----_. ------- ------- ...... ..-.
Size Service Wires...............-..-.._-Number of Switches...........----- ..-..-.... .......... -.. ----------
Size Service Switch........................Number of Receptacles............ .......... .........- ------------
Size Sub Sub Feed Conduit..................Number of Fixtures------------------ ---------- -
Size Sub Feed Wires------------------.Ranges................ KW............. --------- -------- ..-.-.-.----
Number of Circuits................... Oven .............. KW----------- --------- ------- --------------
Number of Meters........................Signs-./--- Transformers--- ---------- -------- 46
v
Misc- ---------------------------------------------Dryers---------------------------------------- -------- ----------
Motors-------------------- HP.................... Phase.................... Permit Fee $1.00
Motors......----------- HP.................... Phase................._.
Motors-------------------- HP----------------- Phase------------------ H P Charge-------------- -----------
---
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TOTAL FEES
RECORD OF INSPECTION APPROVALS
Rough Wiring---------------- ----------------------------
Fixtures
DATE IxIRCTOR
Finish Wiring ........................................
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oArR Ixarocr .Fnal - c-.
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