2461NO. STREET
LOT NO.
r o �7�C, OR ELECTRICAL PERMIT
3 rOCT 15 1963CI " (7E cupsxrlrao , 6
o Date 195— Per it
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Fee.00�
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
j .. wiring and/or, fixtures in accordance with the provisions of the Electrical Code of the
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m City of Cupertino, nd all other laws applicable thereto.
z _j Use of Premises
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LIYlAN77i'L,GA
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n x State License;
Addressfy
Address 2 L
Approved _
ELE(MUCAL INSPECT=
Size Service Conduit ......................Number of Outlets.....
Size Service Wires ......................._.Number of Switches _...._........
Size Service Switch.............._........Number of Receptacles............
Size Sub Feed Conduit ------------------- Number of Fixture
Size Sub Feed Wires...................Ranges................ .... iL......
Number of Circuits_ ................. Oven -------------- KW --------------
Number of Meters.....................::.Signs..........
NEW EPL FEES
..--- -I.------I-------------.
Misc.------------------------------------Dryers...------------- ...--------------- I-... --- --I..------ _--------
Motors ----------------- _. HP -_----------------- Phase.-- -------------- Permit Fee $1.00
Motors------------------- HP .................... Phase ..... -..........---
Motors ........ ------------ HP .... Phase ...... HP Charge ---------------- ------
TOTAL FEES—
RECORD
EES " 0
RECORD OF INSPECTION APPROVALS
Rou h Wirin ---------------- ..... Fixtures -- ........... ...... ---------
DATE INSPECTOR OAT 1 ECTOR
Finish Wiring...._ , .: .. Motors ...... .. .... ..
.DATE INSPECTOR � ]
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.. .., Final ...... ..---'--- - �- -----...- ---......
�••, r DATE INSPECTOR