2739 NO. STrt T LOT NO.
20
w atffi&Q�41R ELECTRICAL PERMIT
o < CI OF CUPERTINO
3 0 'S►MAY 7 1964 p
10 a
o Date ��— 19k'� Permit No.
CITY OF CUPERTINO Fee 'S
a Application is hereby made to the City of Cupertino for a permit to install electrical
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wiring and/or fixtures as listed on the reverse side hereof, and agrees In install said
w wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
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> 0 City of Cupertino, ,and
� all other laws applicable thereto.
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_j Use of Premises u'`)
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3 < Owneryr f�/�su! �G/ Address
W W By L//t�Es.!�e l�evu-S��y_ Address �
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a 0 n P-T _ OR, AGENT Approved
—V Phone: '"C� 1; ,S Sr i ELE(IlUrAL INSTECTCO
5 State License: o
NEW FPL FEES
Size Service Conduit------------------..-Number of Outlets._........_._.. -----
Size Service Wires--------------------------Number of Switches..-.---------- -- ------- --- ------ --------------
Size Service Switch------------------------Number of Receptacles. ----- ---------- ---------- ------------
Size Sub Feed Conduit----------------Number of Fixtures..... - I
-
- - - - -- - .......
Size Sub Feed Wires--......... ---Ranges---------------- KW_---------- ---------
-- ----- --------- ------------
Numberof Circuits-----------..... Oven -------------- KW---------- ---------- ---------- --------------
Number of Meters.....__............._Signs..........
'Transformers-------- ---------- ---------- --------------
Misc---------- ------------------ -- --------------Dr ------- ------- ..............:-- ---------- ---------- --------------
Motors--------- --------- HP----- ----- -------- Phase---------------_--- Permit Fee $1.00
Motors----------------- -- HP-------- . ...... . Phase--------------------
Moto)S.. HP-------- ----------- Phase..------------- H P Charge.---- ----------
TOTAL FEES
RECORD OF INSPRCTION APPROVALS
RoughWiring.-------------- ----------------------- Fixtures ---------------------- -- ---- - -----------
OAT[
Finish Wiring ------- -- ----- -------I SP-N- -E-CT-0-R... Motors ------------AINSPECTOR-TE........ .......-- --...-------
DATE INSPECTOR DATE INSPECTOR
Final .......................... ............................
DATE INSPECTOR