2705 / bJ & I I .PP!Ar' 1 _
NO. STREET _ LOT NO. . .
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r T OR ELECTRICAL PERMIT
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3 < fAPR 27 1964 OF CUPERTINO
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o Dahl ry , 1964 Permit No. a QS,
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a N Application is hereby made to the City of Cupertino for a permit to install electrical
awiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
J W wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
00
City of Cupertino, and all other laws applicable thereto.
z_j Use of Premises
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Owner Address
— Np //
WW By r�Lr d-e�i n,✓ _ Address
r� CONTRACTOR,
R�AlCTO , AGENTQ Approved E.
M-U Phone: IRCAL WSPECT01
State License:
I .. . Ii-) i-( - . NEV RPL FEES
Size Service Conduit.. ."..(.....__.(Number of Outlets.................. ....
......... ....
Size Service Wires..�/OIPA.Aitmb& of Switches................ . ..............
Size Service Switch.._LfL0.1k....Number of Rm'eptactes............ .a..q.3 exy
. . ....... ..............
Size Sub Feed Conduit..................Number of Fixtures.................. ...N., �.. ........o..-30
Size Sub Feed Wires....................Ranges....... ....... KW.............. .......... ......---- -------------
Number of Circuits....-............. Oven ..... ....... KW............. .......... .......... .......
Number of Meters.......I..............Signs.................... Transformers........ .......... .......... .........
Misc.............. .................... ...... Dryers ........*....... ... .......... ............
Motors...... H P —,2
M"c
Motors
Permit Fee $1.00
Motors.................... HP.................... Phase....................
Motors
Motors-------------------- HP.................... Phase.................... H P Charge................ ......Motor TOTAL FEES
��7RIE SPECTION APPROVALS
..........
Rough Wiring Pl�..... Fixtures ......................I............................
Ara INSPECTOR .?DATE lPECTOR
Finish Wiring ..............F .............. Motors .............
...
DATE INSPECTOR TJ .. ..... ....I T"O 1,
Final . . -
-.-
.......
DATI INSPECTOR
N 0 IC 0 L
'T:tro R I CHARGE
UILDING�TJP�KOIR ICE
F AY 2
Date 5L Permit No. .1;9.79-.S�
"YT ..........Fl,.. ............... . . . ..... ..
To c
W -1 TiM
Address Y.OZ 4--/----
-- --- ------ ....................
Reason ........ ..........<. . ......... —w-y
...... ----- .. ... ... .....................................
................... ............................................................................................................................
....... ........... ...... ........ . ............------
Amount$ ....
Signed ... ...... ....S.. ........................
10( 3/59-300