2157 10G/22
NO. STREET LOT NO.
�APP,ISiCI BION QvR ELECTRICAL PERMIT
CITY�OF CUPERTINO
;� JUL 8 1963 //
1963 Permit No.
Date �� '� 3 S
M �� I Y Uf UUNERTIN® Fee 5 1q•
.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
wiring and/or fixtures in accordance with the provisions of the Electrical Code of.the
City of Cupertino, and all other laws applicable thereto.
cY
v Use of Premi� �QS`e�v �cp
Owner ' � '��Q-Address 6. 0 C .
CSv,
By LU E Address ��-
CONTRACTOR, AGENT �t
1Sd .Approved� � �
Phone: " E v — 0 0 niCTRrCA1 wspEcr M
r .�� NEW RPL FEES
` Number ofro;SS t`hes...:.':.•.``
' Size Service Wires---------------------- i �dt ...- --- -� ........ --------------
size,
......--
Size�ServlceCondult---- ------ ---------- � -lfr . ;:,. _ o-
P ; ' . - 3_ '..-
«. Size-Sub Feed Conduit..................Number of Fixtures............_^ /o
S ze
Se ce Switch r....._.....Number of,• tacles....,:..
a
Size Sub Teed Wires....................Ranges......./----- KW.............. .-....�
Number of Circuits................... Oven ---,/---.-- KW-------------- ------ ---'-7-s--
Number of Meters.:......................Signs.........: Trransformers.------ ---------- ---------- -------.--,--
Misc----------------------------------------J. ...Dryers.------f.,!-...- ---d---"I----/--- --------- --- �--
' Motors-------y-.--. HP....... 2...... Phase-......- .... Permit Fee $1.00
Motors--- ------------- HP...:......:......... Phase.................... 60
Motors.--............... HP-----=_-------- Phase.................... H P Charge.'.... ----
TOTAL FEES
�•-7 O INSPECTION APPROVALS-
Rough Wiring.( -�------�-------------------- - Fixtures ------�';---: ' --�-
OA INSPECTOR 1)AT[Wiring1 E �1R
Finish Wiring ................�....................... Motors .....r -- '------ ' -i ----------
DATE IMaPECTOR ) oArC IxsPFOTOX
Finalj......:... ._��............................
DAT[ INSPECTOR