2841 NO. _ �. STREET LOT NC., ,
g R ELECTRICAL PERMIT
c g ras CI CUPERTINO
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3 LL AUG 18 1964
o Date — - ( - 195— Permit No.
° ` CITY OF CUPERTINO Fee 1700
U) Application is hereby made to the City of Cupertino for a permit to install electrical
W i 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
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m City of Cupertino, and a other I s applicable thereto.
03
oa
z_j Us f Premi
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3 Own Address
z .71 ��Q�Gf l4yL(/_
W z BY L-- Addr
Uf CONTRACTOR, AGENT
a oApprove
-10 Phone: �y�� ELECTRICAL IMPECrOl -
hT State License!/Z:L�" - C 16k
_ - 'NEW _RPL FEES
Size Service Conduit---------------------Number of Outlets- . 57- ----- 3..70
Size Service Wires--------------------------Number of Switches---------------
Size Service Switch------------------------Number of Receptacles-_.-----.-- _-- J. ...-..._-
Size Sub Feed Conduit--..-------._.---Number of Fixtures---------------- _...f.. ..-------- .-_L..
Size Sub Feed Wires..-_--.....`......Ranges....A�- KW-..--.------- --------- ------7%T
Number of Circuits................... Oven --� - KW-------------- ----/--- -------- -----
Number
-- --,J--
Number of Mete -.---- - .Signs.--.------ Transformers-------- ---------- ---------- :.............
Misc......�---- - -- - - Dryers------- .---------------- ----�--- -------- - -...L--
Motors------- -------- HP-----.--_-- -- Phase-----------.-.----
Permit Fee $1.00
Motors------------------ HP------------------- Phase---'--....--- ----
Motors--------------- - HP------------------- Phase------ H P Charge.------`-- ---- ,.
TOTAL FEES >'
O O INSPECTION APPROVALS
Rough Wirin Y Z- --- -- -------------....... Fixtures ----......-------.... -----..-.._-----.......--
D.1 IMSP[CTON DATE IM SPSCTOR
Finish Wiring ---------------- ...................... Motors ------.-.. .-----._�...... -- -
OSTC INSPECTOR R[ OR
Final. - - ------'-----------
DATE INSPECTOR