1616 (2) 4 z I � 9r�Qi
NO. ST LOT NO. '
FPR ELECTRICAL PERMIT
kCUPERTINO
Ff U 3 D 9952
Date T�/ n FR , 19.�r,� Permit No. � 1/P
�I11. € ���fS'th�I � Fee S 13-��i�
Applica lon Is h reby ma of Cupertino for a permit to,install electrical
wiring and/o'r-fixtures as listed on the reverse side hereof, and agrees to install said
wiring,andlo'e Iixture's-in accordance with the,provisions of the Electrical Code of the
Cityof Cupertino, and all other laws applicable thereto. - -
v Use of Premicrc' -rp?�_�.� ,
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3 Owner E < n =<Q. Address 6I:trd.i
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Address i CONTRACTOR, AGENT
Approved
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Phone: ELECTRICAL INSPECrOl
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ELECTRIC SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
JCITY OF CUPERTINO
--------------I...... 1�. ------......--------- 196-
To
.11 You are hereby aut 1z to conpect the EL• I ' e r
Owner or Tenant .... ...... . ... .. . . .. ...... .. . ._._..___tet._..._____..--.
No. of Wires . .___..... SizeWires ¢5..._:....... Size of Switch/�A_,
Motor Load'.......................... Voltage ................. ............:. Phase..... ................
., Heating Load :.............----... K. W
................... Voltage ..
` Light ..............110.._......... Neu, Service .... . Reconnect .._.......:....
No. of Meters....../i....... ""'rt` �..
Heat ....._..._..220 ..__....._...Three Wire.......____....Move Service ..........
No. of Add. Meters::....._ 1!t
9LECTR51
{.:.._.-...Move Meter ..._......., L INSPECTOR
104 7/61 -0