2766 h� 5" CO LOT NO.
r o % a R ELECTRICAL PERMIT
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3 < 1964CI -o CUPIiRTINO
w LL MAY 2
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LL w Date AY 20 1964 195— Permit No. '_27
° ` CITY OF CUPERT�`�i Fee S /s aU
< App ication is hereby made to the City of Cupertino for a permit to install electrical
Xwiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
j wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
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5; 0 City of Cupertino, and all other laws applicable thereto.
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z -1 Use of Premises
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3 `a Owner 40 E rz4f j? Address
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W w By P. o. eox sas _ Address
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CONTRACTOR, AGENT A rOVed �
- t] Phone. PP ELECTU L4N ►
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State License-�' Phone ELgato 6-4422
_ CIFW RPL FEES
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Size Service Conduito...��................Number of Outlets-_ ------------- .--U ..... _.. ......
.. ....
Size Service Wire ---_....-..Number of Switches---------------- .�.1... ....._... ..............
Size Service of Receptacles------------ --_3. ---__... ..............
Size Sub Feed Conduit-----------------Number of Fixtures------------------ -- ----- --- - -----
Size Sub Feed Wires--------------------Ranges........`----- KW------------ ---------- --
-..-.........-
2SNumNumber of Circuits------------------- Oven ...../.... KW------------ ---------- - 01 0:2-5—
Number
ber of Meters......1-------------Signs.......... Transformers-------- ---------- ---- ----- ---
--MisMisc. __-------------------
c.---....-------------" -------- ------Dryers------/----------------------------- --------- --------- -----..:,/...J
Motor-..y---------- H . Phase-------------------- Permit Fee $1.00
Motors--------------- HP-------------------- Phase------------...---
Motors------------------- HP---------- /" Phase--------- Charge
ha ge----------- - CD
fJ/G - /�:5- &Y;f TOTAL
/ CO OF INSPECTION APPR- VAL '
RoughWiringh.�.1- —--------
----- Fixtures -
O [I I INSPECTOR NSNECTOR
Finish Wiring --------------- ----------------------- Motors --E
osr[ INv[croR 1 ori[ ----t- iNn[crpx
Final .-'--- -1--1-�-- --..-.�- _ .....'
...
....
01T[ INSPECTOR