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2525 NO. STREET LOT NO. E oP,PIp.ICATaON FORELECTRICAL PERMIT oa C oIJAF CUPERTINO D�C 3 Z6, ` 3 LL w Date / 194c Permit No. ° CITY OF CUPERT''N1P Fee 5 a Application is hereby made to the City of Cupertino for a permit to install electrical w r wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said 00 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the 5 City of Cupertino, and all other laws applicable thereto. 03 oa z Use of//Premisesp J 0 Owntsf' /��/� v� 3 a Address W w By Address 100/ Y 1 !u tsf77.U✓ CONTRACTOR, AGENT oA roved __ _V lyj Phone: ss(:7--5- ELECTRICAL INSPEGIW 1 State License: -P3 y J, e 7 0 NEW RPL FEES Size Service Conduit----L.Y---------Number of' Outlets._..._.____. - -------- -------- Size Service Wires.......4- - .._------Number of Switches-_._._....._ ---------- ---------- -- .......... Size Service Switch... ---------Number of Receptacles............ .3.6.. ....__.. .3...6_ Size Sub Feed Conduit------------------Number of Fixtures....._..-------------------- ---------- --------- ............ Size Sub Feed Wires....................Ranges........./---- KW----------- ---------- ---------- ----- Number of Circuits........--------- Oven .... (------- KW-------------- ... .............fir. Number of Meters........................Signs..._..... Transformers.------ ---.---- ---------- -------------- Misc--------------- ......... ------ Dryers...---- -- - ------ -- ---- ------- - - -- --- ------ * ----- - 75 -- Motors......... HP------ - ----- Phase----- Motors-------------------- HP-------------------- Phase-------- ---------- Permit Fee $1.00 Motors-------------------- HP-------------------- Phase-------------- H P Charge----------------I- / O--V -----.----- 1 TOTAL FE ff �CIT� OF INSPECTION AEP.40VALS Rough Wiring..--t ... ..... - --------- Fixture�----- t .....I-K-S-P E C__T_-0 R Finish Wiring ................I......L----------- Motors ------ T.V--- _;__ S - -- ---------- bRrz Final 1.51ECTO'k.... DATI .