2751 NO. STREET LOT NO.
X "µ��]�T OR ELECTRICAL PERMIT
s u ®�M AY 2 2 1964 Y/,Y OF CUPERTIfdO
I J /
'. Date --` �d , 19$b} Permit No.
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° < CIT I�
Fee
< Application is hereby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
r wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
00
5 City of Cupertino, and all other laws applicable thereto.
z_j Use of Premises
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J o
3 Owner
By HEATH ELEC �e Ad lie`s -
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a fi S�I� aio G-44
Pi
< a La AL� 7$t]A Approved -
-l) Phone: ELECTRICAL INSPECTL1
State License, 4?Z6
•
NEW RPL FEES
Size Service Conduit--�<----..........Number of'Outlets.......... ---— �a. ....... .......
Size Service Wires/0 Number of Switches____....._ - ......... ..............
Size Service Switch- OV4.......Numbet of Receptacles...._...... .... ---------- - ------------
Size Sub Feed Conduit..................Number of Fixtures.._.............. ------ZO ---------- ----15 f0
Size Sub Feed Wires--------------------Ranges---------------- KW-------------- ****---- ---- ---- --------------
Number of Circuits----------------_. Oven -----/....... KW------------- ---- ----- ---------- .
Number of Meters_._/........._......Signs--...-.... TraDskormers-------- --------- ---------- -/
Misc-------------- ...-----Dryers._../...---......_..------...----- ........ . .......... ..........
Motors....... ----- H .... Phase.................... Permit Fee $1.00
Motors- ------------------ HP-------------------- Phase....................
Motors-------------------- HP-------------------- Phase......... .......... H P Charge..`--_--.-- / 00-
TOTAL FEES
:,7C OF INSPECTION APP OVALS 737�0
Fixtures
Rough Wirinj ------- turl� ----------- --------
N EC
TOR
S�,
Finish Wiring ................ ........................ Motor
DATE INSPECTOR ENsr�T,Nr—
Final I--- . -1
. .. .... . . ----------_.---....._..--
DA? INSPECTOR