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STREET LOT NO. /
tAPP"01CATTO'INTFOR ELECTRICAL PERMIT
CIN OF CUPPRTINO
JUL 8 1963
Date Y 14a Permit No.
CITY OF CUP&T'l 1O Fee Q %2 g°
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
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 Premis,g
c
aOwner E�vv C2 Address c/6o ci-a...v�.rn-.. Poe. C
14 By Address .' SJ.
CONTRACTOR, AGENT
c'vM .Approved IU
Phony. "r 2 L'INSPHC10i
c 'rI
lO nd i:f 'fid
r.
iy NEW � RPL FEES
Size Service Conduit----------------------Number of Outle S..:< -- --------- ---- ---- ----------
'.-�....
,Size Service Wires. :.............Number'of Switc es_......._..... �5,. . .......... _.,C... ..
\4,
SiieService Switch........................Number of"ReceStacles............ .;Z..... .._L._. ..........
t� qo
Size Sub Feed Conduit............. ....Number of Fixtures.................. ... .. ......_. ../......
// �-
Size Sub Feed Wires.....................Ranges............. KW----------- -----./... .------- -----------75
Number of Circuits_................. Oven ---/......... KW.....-
........ ..... .- . 7
Number of Meters........................Signs.......... Transformers........
I.......... .......... :........r. .
. .t, Misc------------------------------------------------
Dryers...... ---------------- --
--- ------- -.... ----..... ---.:7..--
Motors......`..3.:-------- HP-------------------- Phase....................
Motors.........:.._...... HP...:................ Phase.................... Permit Fee $1.00
Motors...._.............. HP.................... Phase-------------------- H P Charge................ . S
TOTAL FEES-----Z^-
OBq> OF INSPECTION APPROVA
Rough Wiring/..��1---.d.. -- - - ----...._ � Fixtures ....:...!].�........ ........ . :';- ------
DATE XSPECT OR 'ATE PEC R '
Finish Wiring - . �. . . . JILinaIR
------- T ----. ..._.IN. ECT R.._ -'OATL IXSP[CTOR � GATE -IMSPCETOR
<
DATE INSPECTOR