2522 10434 I para i'gA nr = _
NO. STH r.r.T I - - ' / LOT NO. t
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2/10EC
IP_ECATION iFOR ELECTRICAL PERMIT
oCUPERTINO
12 1863 a S� �-
, 0 1z-11 —
4 F Date 6j 195 Permit No.
CITY OF CUPERTINO �=C1
a w Application is hereby made to the City of Cupertino fora permit to in all electrical
'w s wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
ao wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
5 a City of Cupertino, and all other laws applicable thereto.
z° residence snce (pool wiring)
Use of Premises _
J Z
J0 J. R. Bestul
3 a Owner Address ab&e
— 1-1. G. %VANDERIZq
W W By _ Addres .
—
0 y YONT
Q ° cR, . .: : Approved—0 phone: PHONE 736-5421 ELECIRtCAL INSPECTOR
12422
State License:
NEW RPL FEES
Size Service Con&t......................Number. of U t ts.................. ......... .......... .........
Size Service Wires...........................Number of 5v rhes................ ..-.I.._.
,hes................ .. .I..... .......... ... ...........
Size Service Switch........................Number of Recepticles............ .......... .......... ..............
Size Sub Feed Conduit.---......._ Number J Fixtu S------------------ ----/
........ .... .........
Size Sub Feed. Wires-------------------Ranges.....------- KW-------------- --- ------ --
-----
-----
Number of Circuits--_:---.--.-:: .
Oven ............... KW...
.......... .......... .......... .........
Number of Meters------------ ------Signs.......... Transformers..:....: ..._.._. ..._--_. ..._.........
Misc----------------------------------- ----- Dryers..._------------------------------ ---------- ---------- ----- ----
Motors........j---------- HP----V14 ---- Phase----------------- -
Motors. ........... -... HP-------------------- Phase---------- ------------ Permit Fee $1.00
Motors-------------------- HP-------------------- Phase----- -------------- H P Charge.......wz�h ,..77.5
-7
TOTAL FEES
0 OF INSPECTION APPROVALS
g
Rough Wirin r
--- ---------- Fixtures --- -- ---- ----- ----- -- ---- -----
D
D,
ATE .p.
Finish Wiring ............. -------------- ---- Motors ... . ... . - ------ .................
DATE 1.11.CT.R
. .........
Final DATE - ----& .........