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r i 'L..-1� •i h0: ..- STREET LOT NO.
; APPLICATIOOR ELECTRICAL PERMIT'
r r p C OF CUPERTINO
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- DaterR,l,:J,r+ +ii.,lf c%Ttfk1/1, 19�,� Permit No, o -
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t ApPlication.is hereby made to the City of -Cupertino for permit to install electrical
^� wiling and/6r.fixtuures=aOlisted on the reverse side hereof, and agrees•to,install-said
,. _
'wirin,g'add%ojr:fixtures�in-accordagce with the provisions of the Electrical Code of the '
City..of Cupertino, and all other lads applicable thereto.
1041
v Use of Premicrc
f a' Owner 4Address
gy �? .,-(� .)�1./e_:- ' 'Address '
• Y11 - CONTRACTOR, AGENT _y1
Approved���///
`' L\ Phone: IHff 2 .G.9s / pLECrarCAL WSPECT02
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JpELECTRICSERVICE NOTIAk.noopc�
BUILDING INSPECTOR'S OFFICE a`
'- CITY OF CUPERTINO "
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ou are hereby aut d 'connect the TRIC service for~ 4
Owner or T'e/na/n�t�+.C,.// Ay
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At..�M ..... .. .... .. .... a. 1Y.4A ...ET
------------------ ........... .............. ... v__�..f.vl. ..
••.. Yit.�-:
No. of Wires , 'Size of Wires ------
�. ........ . re ob Sw a
Motor-Load - ..................
z .
Voltage Skr�ase t itch r
•�. •may r `fir +yn�f�i.7..�L„� .A*r. t (`
Heating=Load :`....: KEW` —� .. Vo1Ca e kR a'
.;
8
r Light --------------110 .. NewService `r- Reconnect
Ao. of Meters...................
'- Heat .._.... 220 d ... Three Wirree . cr' :'Mose Service ,�,
No. of Add"Meters.:........ - �.�''xtI.e, ;<
..._..,Power ........... *ELE :MICAL
e•5....!'......:.:.Mose Meter............ .
.:....
104 l=oo soo; �"''- '�" t INSPECTOR