2219o bI Pow rose. Y : 3a
NO. STREET LOT NO.
ELECTRICAL PERMIT
-,�JvUL 19 1963 �...... �� I
Date �^-^-u I , 15da Permit No.
CITY Or CIJPE,Ti�`�; Fee S
Application is hereby made tote 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.
Use of PremisPg C 5
Owner 5kp�—" F -7\r. Q, ,✓P Address
By Wt \ .`' r toy Address v• ,
CONTRACTOR, AGENT A Approve
Phone: tC 6— o %VQ ELE CAL INSPECIDi
I
NEW EEL FEES
Size Service Conduit------ -----Number of Outlets... ................
o
K
Size Service Wires------ ------- Number of Switches� ----- -------
- -
----------
--------------
3.q
�3 00
Size Service Switch__/��,�, ---Number of Receptacles . ..........
. --
----------
--------
Size Sub Feed Conduit.....—.........Number of Fixtures ------------------
--j_K
----------
--
/ KW
.7
Size Sub Feed Wires ...... ......... Ranges ------- ..... --------------
----/ --
----------
----------- --
/
Number of Circuits._...... ----- oven L_ KW------------
----- --
----------
--------------
Number of Meters ----------- ............ Signs ---------- TrAnsfo,rrner's_` .......
4
Misi: ------------------------------------------------ Dryers .........
tjp Ph
---
-----------
--------------
otors ------- ------ _ --------- 7 -------- ase ; ......--- r ----
Motors ... ... HP i ................ Phase -------------------- Permit Fee $1.00
Motors -------------------- HP ---------------- --- Phase -------------------- H P Charge-------------- 75'
TOTALTEES
Rough Wiring: j/!_`/
I
OATf
Finish Wiring ............
. DATE
S OF INSPECTION
&4_ Fixtu
'.INSPECTOR --------
.......... Moto
.INSPECTOR
*FinalDA
-INSPECTOR