2781 NO. STREET 0 LOT NO.
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TdQNR ELECTRICAL PERMIT
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?(MAY 2 6 1964 c bF CUPlR71N0
To
I ° _
r w Date 1914 Permit No. 62
° a 1101f Fee 5 7- O
> �
Application is hereby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
4 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
00
> City of Cupertino, and all other laws applicable there/to.
0 l G U 1/ -
z _j Use of Premises �
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J ° Owner 4Z- Address y :✓re
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W w Bye�""��<<��� ��_ Address 2
i0 �cyvyy,yORr AGENT Approved �.
Phone A K��L�-�' Y�-ZC7 ELECTRICAL INSPECIYA `•�
State License; 1 -7/-L7 tC�0
NEW RPL 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....�o.------- ---------- - --- -----
Size
:-Size Sub Feed Wires--- ---------------Ranges................ KW------------ ------ ------- ------------
Number of Circuits------------------- Oven ----......... KW------------ ------ -- --------- --._.--------
Number of Meters--------------_.--.-...Signs_........ Transformers----.--- ------__ ...---.-.. ------------
Misc.--------------------------------------.----Dryers--------....._------------------- ------- ------ -----------
Motors--`------------ HP---------------- Phase------------- ......
Motors-------------------- HP------------------- Phase.................... Permit Fee $1.00
Motors----------------- -- HP------------------ Phase--...... ---------- H P Charge-----...------..L...------
--p
TOTAL FEES 7
RECORD OF INSPECTION APPROVALS
Rough Wiring---------------- ------------------------ Fixtures ------..... ........ -------...------------ --
DAT[ INSPECTOR DAT[ INSPECTOR
FinishWiring ---------9----- I-------------'---0----- Motors ----------------- ------I------...-------
Dsrxsr[cr [ � DAP[ xsPEcr0R
Final .......................... --------------------------
DAT[ INSPECTOR �.