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2761 NO. STREET LOT NO. w oR ELECTRICAL PERMIT 0 7 D CI OF CUPERTINO 3� AY 221964 4 ° 40. Date MAY 2 0 1964 6 195— Permit 1, ° < CITY OF CUP C Fee S/Si o a a 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 0 0 > City of Cupertino, and all other laws applicable thereto. z_j Use of Premises . o 3 Owner � w4� Address W w By HEAT MMPI Pr _ Address MIG �g. CALIFORNIA Approved —U Phone: I:E6�1CdL 1Na►_ �9CTGt State License; Phone ELgato 0-4422 NEW RPL FEES Size Service Conduid:Y---- __.Number of Outlets-------I......._. ._6_ _-------- --------- ---- Size Service Wires..._ —-----------Number of Switches-..------------- -111,97 --------- Size Service Switch__�— �Number of Receptacles._......... ---------- ------------ Size Sub Feed Conduit--------- -- ---Number of Fixtures._...............=00 --------- Size Sub Feed Wires-------------------Ranges.........1---- KW------------ -------- -------------- Number of Circuits............__... Oven KW__ . .. ....__:� Number of Meters.../................Signs..... ansformers-------- Zf Dr Misc.---------- yers ............. ---- - -------- -- -- - -- ------ Motors ---P*_._21�.. --c-0. Phase-------------------- Motors-------------------- HIT----------- -------- Phase.................... Permit Fee $1.00 Motors-------------------- HP-------------------- Phase.................... H P Charge---------- e� lel z? ,✓ TOTAL FGES INSPECTIONCO APP OVALS 1,57-T6 Fixtures .tur r's f Rouh Wiring -0-- - ---- -..--------- 8 .......... on FinishWiring ................ ----------------- ---- -------------------- DATE INSPECTOR---jm,tor�� -T !PEECTOR- T Final - ------ .................... DATE INSPECTOR