2740 NO. STREET — LOT NO.
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r o PT R ELECTRICAL PERMIT
o D 1 F CUPERTINO
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LL MAY 11196A
0 Date 195— Permit No.
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a m App},�+a6dn i1NrebgWd�RTh'kCty 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
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4 wiring and/or fixtures in accordan(e with the provisions of the Electrical Code of the
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5 m City of Cuper an ll other laws a licable to.
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z_j Use of Pre ices
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3 a Owner ;c— 0't/ n Address/eP''7S
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QO CONTRACTOR, AGENT AP
V Phone: 4O/-y/7 S �� % proved E , INSPEC[W
State License: Z 2 S Z
NEW RPL FEES
Size Service Conduit----------------------Number of Outlet................... .
------ --------
Size Service Wires--------------------------Number of Switches.......---- ---- -------- ---------- ---- _.----
Size Service Switch------------------------Number of Receptacles_.._------ ---------- --------- --------------
Size Sub Feed Conduit------------- ....Number of Fixtures.................. ---------- ---------- -...__---
Size Sub Feed Wires-------------------Ranges................ KW....------- ------ ---------- -----------
Number of Circuits------------------- Oven .............. KW.............. ........_
Number of Meters------------------------Signs.......--. Transf {ner /15-0
Misc......------------------------------------------Dryers------------- ---...-----.`... -------
------- ---'---- -Is�
Motors-- ----------------- HP------------------ Phase----------------- Permit Fee $1.00
Motors------------------ HP------------------- Phase--------------------
Motors-------------------- HP.................... Phase------------------ H P Charge....----------- -......--....
TOTAL FEESD
RECORD OF INSPECTION APPROVALS
Rough Wiring--------,---- ---- Fixtures ---------------------
DAT[ INSPECTOR DAT[ I [CTOR
Finish Wiring ------------...I. -------------- Motors . - - -�------ -............--
DATE IRsrtcrDR O rF
Final ---..... -----
_.....� ...-�---'
A
Finall.O..
INSPECTOR