2738 � o�3 L tiC eti C'L - 1,�r?2
NO. STREET LOT NO.
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ELECTRICAL PERMIT
0 , Cl CUPERTINO
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EmAY 6 1964
O w Date 19 Permit No.
CITY 0 CUPERTINO Fee
a Application is hereby made to the City of Cupertino for a permit to install electrical
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,w. wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
.ai a wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
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> 0 City of Cupertino, and all other laws applicable thereto.
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z-J Use of Premises a'---^--<
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a Owner C4i�� Address
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z By �6 ��
w �• �+., �_ Address
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0 O CONTRACTOR, AGENT Approved
ELEIU—UPhOnc: 'MFECTOX
State Licenser7 /4'-
NEW RPL FEES
Size Service Conduit.- Number of Outlets.....__--------- -_/ _-------- - .. ....
Size Service Wires--------------------------Number of. Switches----.......... ..../- - - ___ ...**
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Size Service Switch........................Number of Receptacles._._..---- ---------- ----- --- -
Size Sub Feed Conduit----- ------------Number of Fixtures..-_- - ....... ..../---- ---
f- - -----------
Size Sub Feed Wires--------------------Ranges---------------- KW---------------------- ---------- ---------- --------------
Number of Circuits------_--_----- Oven -------------- KW------------- -- -- ---------
----- ------ -------
Number of Meters------------------------Signs---------- Transformers........ ---------- ---------- --------------
Misc_----------------- ---------------------------Dryers---------------- .......... --------- ---------- ---------- --------------
Motors......./----------- HP. -------- Phase------_L.......
Motors......... HP . ............. Phase...----------------- Permit Fee $1.00
Motors-------------------- HP----- ........... Phase....... . .......... H P Charge----.---------I------b4-r
TOTAL FEES
RECORD OF INSPECTION APPROVALS
Rough Wiring------ ........ ........ Fixture . .......Z7
troe
Finish Wiring .....BATZ INSP-9-C-T-OR--- Motors f Fin
.......
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al .........................
DAT INSPLCTOR