2326 /03_ ,limQc. l �� ,
...STREET 'C � LOT NO.
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APPLICATION : FOR ELECTRICAL PERMIT
AUG 1.. 1963 CITY OE CUPERTINO
Date.••-• • —_ --- 195 Permit No. '13j�1-
•,c. l Y ur lel ll'i:P(i pee $
0
i Application is hereby made to the City of Cupertino For a permit to install electrical
�U wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
v Use of Premiseq
c
�{ 1/f.- �u-arAZL-.o
:a Owner /gl.^�-�•'�" '�'"�^--�^—_•.w�-,.. Address
ygy r Address G
CONTRACTOR, AGENT
J Approve
Phone: 3-79 'r97O L6 L "SPECMI
'^P /.. NEW RPL_ , FEES -
Size Service Conduit.-zc..�T_Number of Outlets._............... .......... ......_..I a' yD
y1E
Size Service Wires....................-----Number of Switches...........__. .g.. ......--..I2-=-$D
Size Service Switch.,.-/.eg......Number of Receptacles......------ _.0 S'.®C.)
Size Sub Feed Conduit..................Number of Fixtures-----------------Z. .. .......... Z---5X0
Size Sub Feed.:Wires:-----------_----Ranges...k........ KW...J:1..... ......Z.c .........- -_/,'.SU
Number of Circuits._../.. ........ Oven _�i-------
Number of Meters._,Z..............Signs.......... (ITransformers........ .......-..L......... ,-.-..-....,;,
Misc---------------------------
--------------
--- --D ers..------
t--�-�-. .�---"�--�--.....------ ----1..- --------. ....t.
Motors--------------------- HP.fdo c �"'f
Motors.................... HP............-..----- Phase..._-.-n-----..... Permi['Fee $1.00
Motors-..-...----------- HP------------------- Phase------------------ H P Charge-------------I.e:.
TOTAL FEES ��
O INSPECTION APPROVALS
Rough Wiring.. .. ....J� .. .. . ........ Fixtures fz.7 I!S a.
-------
OAT -
- INSPECTOR
OATF INSPECTOR
Finish Wirin Z=.iJ
gf .. �_ Motors -------------..--------�-- ----....----.....----..
OAT INSPECTOR 4ATF2 'INSPFOTOR
Final 1 2-1 1 ,
.......... ........ ............... .......---
DATE INSPECTOR