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RAIPATION R ELECTRICAL PERMIT
o a !1,►MAR 5 1964c1 F CUPERTINO
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LL Date r�j OFCRTI0I1PFPermit No. O �O
° < Fee S
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m Application is hereby made to the City of Cupertino for a permit to install electrical
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W s wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
oo wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
5 W City of Cupertino, and all other laws applicable thereto.
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Use of Premises
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Owner S/Lx�L>ti'F ✓;7/- % Address
W W By ���''� L—L�c T �°L�uwAddress ��o %R'✓Y e'6"0'7'O CONTRACTOR, AGENT A roved —.
—U Phone: Z�—2 ' S f0 u PP ELECTRICAL INSPECTUX `
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State License: /�
_ NEW RPL FEES
Size Service Conduit...._Y---------Number of Outlets--.-....------_. .z-- -- ---------- _..... .!
Size Service Wires......v--------Number of Switches.--._.--...-... .�----- ------ _ -- --�'
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Size Service Switch..L�k_/9.....---Number of Receptacles..._....... . .. ......... -.--3_`-
Size Sub Feed Conduit_--------------.Number of Fixtures_---------------- ---------- -------- -_------.....
Size Sub Feed Wires.-----------------Ranges------ --------
KW-------------- ---------- ------ -------TS
Number of Circuits...-'-- -- '--- Oven -- KW-------------- - - 71
Number of Meters------------------------Signs---------- Transformers-------- ---------- ........_ ___........_
Misc.------------.- -----------�.--Dryers....�..
Motors_-.---- ..--. HP---.. Y.-----. Phase---1_- ......._
Motors. .. HP.........._......_ Phase.-..--.-. . Permit Fee $1.00
Motors...---------------- HP...... ......... Phase------..__........ H P Charge------------ I _
TOTAL FEES v ST
CO +INSPECTION APPROVALS
Rough Wi ' . ' '- -�---�-------- .\....... Fixtures ......... ------ --...-----------
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Finish Wiring ......-AT------�"...... "------ Motors ---'-------A------- -�---' - ---1 "--.....-'--
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Final ----- -- ----- ---------
DAT[ INSPECTOR