1617 is-3 �/
NO. ST LOT NO. .Z-
AP LI I R ELECTRICAL PERMIT
® y t}CUPERTINO
AUG q 0 196?
Date 3 d , 19 Z Permit No.
rr !!11(�C[nnT1 n(� Fee $ i3 �s
ApplieaaT,Yhe0 y madER�cdtiMV Of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
Use of PremisP<
Owner �aAddress
By Address11
.
CONTRACTOR, AGENT APP roved - .CCG-
7 Phone: ELECTRICAL INSPECTOR
I V) 1
x4 \ )NO ezli
14'
\ \�: \ � � � \ ; � � \ � \ \ \
j / \ j k ( \ � � \ k \ \
0 0
P4
tp
\ \ \ \ \ 0
\ / � � � � ���
}\\\
\P.
uw
,;4 to
' § e §
ELECTRIC SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
.........................; ---------------------- 196....
TO
You are hereby autho connect the ELF IC s rvice for
Owner or Tenant ..... . o 1j.VIC S ......
At .....
...... ...... -
No. of Wires ..U..-....----- Size OfgZ ------ Size of Switch
Motor Load -------------------------- Voltage ----- --- --- ---- - Phase..............................
Heating Load ---------------------- K. W- ------j- - -- - -------- - .... Voltage ... ................... . ......
Light --------------1JO ....L.......New Selvic,'T77777:.......Reconnect ..........
No. of Meters _..../___... . . I .....
Heat ............-220 ....��.Three Wire._..._.___----Move Service ----------
No. of Add. Meters ........
Tj
Move Meter -----------
----------------------- --------
ELECTRICAL INSPECTOR
ton 7/61-500 1.